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1427876911
ADVANTAGE HEALTH PRIMARY CARE LLC
DERIDDER, LA
NPI
1427876911
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Entity Type
Organization
Authorized Contact
HEATHER MARIE DANIELS
Managing Member
337-202-1020
Organization Subpart ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
ADVANTAGE HEALTH PRIMARY CARE LLC
906 N PINE ST STE A
DERIDDER, LA 70634-2816
Phone number: 337-202-1020
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Mailing Address
ADVANTAGE HEALTH PRIMARY CARE LLC
906 N PINE ST STE A
DERIDDER, LA 70634-2816
Phone number: 337-202-1020
Copy
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