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1336747237
INFORMED DYSPHAGIA DIAGNOSTICS LLC
HAMMOND, LA
NPI
1336747237
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Entity Type
Organization
Authorized Contact
WILLIAM BLACKBURN
Owner
203-371-7311
Organization Subpart ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
INFORMED DYSPHAGIA DIAGNOSTICS LLC
1201 DEREK DR STE 1
HAMMOND, LA 70403-5755
Phone number: 985-805-2555
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Mailing Address
INFORMED DYSPHAGIA DIAGNOSTICS LLC
64300 BULLOCK CREEK RD
KENTWOOD, LA 70444-6284
Phone number:
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