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1295290963
GRACE HEALTH CLINIC
SLIDELL, LA
NPI
1295290963
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Entity Type
Organization
Authorized Contact
BIANCA D JACKSON
Clinic Administrator
985-259-4854
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-02-06
Last Update Date
2021-06-17
Business Address
GRACE HEALTH CLINIC
1415 CORPORATE SQUARE DR STE A
SLIDELL, LA 70458-3151
Phone number: 985-259-4854
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Mailing Address
GRACE HEALTH CLINIC
1415 CORPORATE SQUARE DR STE A
SLIDELL, LA 70458-3151
Phone number: 985-259-4854
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