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1417574690
GRACE KIDNEY CARE
BATON ROUGE, LA
NPI
1417574690
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Entity Type
Organization
Authorized Contact
ALISE H HALL
Np
225-802-0079
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-07-02
Last Update Date
2020-07-03
Business Address
GRACE KIDNEY CARE
4316 DAWSON DR
BATON ROUGE, LA 70805-1429
Phone number: 225-802-0079
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Mailing Address
GRACE KIDNEY CARE
PO BOX 74075
BATON ROUGE, LA 70874-4075
Phone number: 225-802-0079
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