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1346676301
BEAUREGARD URGENT CARE CENTER, LLC
DERIDDER, LA
NPI
1346676301
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Entity Type
Organization
Authorized Contact
DARRELL L KINGHAM
CFO
337-462-7111
Organization Subpart ?
Yes
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2013-09-23
Last Update Date
2013-09-23
Business Address
BEAUREGARD URGENT CARE CENTER, LLC
200 W 5TH ST
DERIDDER, LA 70634-4856
Phone number: 337-462-7106
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Mailing Address
BEAUREGARD URGENT CARE CENTER, LLC
PO BOX 790 200W 5TH STREET
DERIDDER, LA 70634-0790
Phone number: 337-462-7106
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