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1306109350
ACTIVE SPINE CARE LLC
BATON ROUGE, LA
NPI
1306109350
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Entity Type
Organization
Authorized Contact
TODD T JANNEY
CEO/Manager
225-791-7788
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
ACTIVE SPINE CARE LLC
8108 PICARDY AVE STE E
BATON ROUGE, LA 70809-3514
Phone number: 225-819-3235
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Mailing Address
ACTIVE SPINE CARE LLC
PO BOX 880
WALKER, LA 70785-0880
Phone number: 225-791-7788
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