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1336488113
PREVENTION CENTERS OF AMERICA LLC
LAFAYETTE, LA
NPI
1336488113
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Entity Type
Organization
Authorized Contact
NITIN MALLA
Agent
337-446-2928
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
PREVENTION CENTERS OF AMERICA LLC
1830 BERTRAND DR SUITE 61427
LAFAYETTE, LA 70596-5001
Phone number: 337-446-2928
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Mailing Address
PREVENTION CENTERS OF AMERICA LLC
1830 BERTRAND DR SUITE 61427
LAFAYETTE, LA 70596-5001
Phone number:
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