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1245463710
ACCEPTANCE KIDMED OF LOUISIANA LLC
BATON ROUGE, LA
NPI
1245463710
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Entity Type
Organization
Authorized Contact
SHARITA DAVIS ACKLIN
Owner
225-382-3920
Organization Subpart ?
No
Primary Taxonomy
170100000X Medical Genetics, Ph.D. Medical Genetics
Enumeration Date
2009-08-31
Last Update Date
2009-08-31
Business Address
ACCEPTANCE KIDMED OF LOUISIANA LLC
2708 WOODDALE BLVD SUITE A2
BATON ROUGE, LA 70805-7541
Phone number: 225-382-3920
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Mailing Address
ACCEPTANCE KIDMED OF LOUISIANA LLC
2708 WOODDALE BLVD SUITE A2
BATON ROUGE, LA 70805-7541
Phone number: 225-382-3920
Copy
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