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1417277922
JEFFERSON PARISH SERVIE AUTHORITY
METAIRIE, LA
NPI
1417277922
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Entity Type
Organization
Authorized Contact
MIKAL MATTON
Therapist
504-838-5257
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: LA 3130)
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
JEFFERSON PARISH SERVIE AUTHORITY
2400 EDENBORN AVE
METAIRIE, LA 70001-1817
Phone number: 504-838-5257
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Mailing Address
JEFFERSON PARISH SERVIE AUTHORITY
2400 EDENBORN AVE
METAIRIE, LA 70001-1817
Phone number:
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