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1336992437
DIVINITY DIAGNOSTIC & WELLNESS INC
KENNER, LA
NPI
1336992437
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Entity Type
Organization
Authorized Contact
LATEDA T WILLIAMS
Owner
504-274-6023
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
DIVINITY DIAGNOSTIC & WELLNESS INC
2002 20TH ST STE B202
KENNER, LA 70062-4403
Phone number: 504-667-3641
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Mailing Address
DIVINITY DIAGNOSTIC & WELLNESS INC
2002 20TH ST STE B202
KENNER, LA 70062-4403
Phone number: 504-667-3641
Copy
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