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1487766804
SOUTHERN PEDIATRIC CLINIC
ALEXANDRIA, LA
NPI
1487766804
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Entity Type
Organization
Authorized Contact
STELLA IMMANUEL
Owner
318-730-9760
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-08-31
Last Update Date
2015-11-03
Business Address
SOUTHERN PEDIATRIC CLINIC
1416 METRO DR
ALEXANDRIA, LA 71301-3424
Phone number: 318-561-4200
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Mailing Address
SOUTHERN PEDIATRIC CLINIC
5910 DUBLIN RD
ALEXANDRIA, LA 71303-5234
Phone number: 318-561-4200
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