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1356767305
NEW HAVEN MHT LLC
LAKE CHARLES, LA
NPI
1356767305
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Entity Type
Organization
Authorized Contact
ANTHONY ADEOSUN
Owner
855-860-2109
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.202004)
Enumeration Date
2014-03-14
Last Update Date
2014-07-31
Business Address
NEW HAVEN MHT LLC
333 DOCTOR MICHAEL DEBAKEY DR SUITE 120
LAKE CHARLES, LA 70601-5887
Phone number: 855-860-2109
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Mailing Address
NEW HAVEN MHT LLC
1515 HERITAGE DRIVE SUITE 110
MCKINNEY, TX 75069-3379
Phone number: 972-616-4702
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