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1508856253
OUTPATIENT MEDICAL NUTRITION THERAPY
MONROE, LA
NPI
1508856253
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Entity Type
Organization
Authorized Contact
RONALD HOGAN
CFO Sr VP
318-327-7369
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: LA 157H)
Enumeration Date
2005-10-25
Last Update Date
2007-07-13
Business Address
OUTPATIENT MEDICAL NUTRITION THERAPY
920 OLIVER ROAD SUITE 1450
MONROE, LA 71201-7529
Phone number: 318-327-6271
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Mailing Address
OUTPATIENT MEDICAL NUTRITION THERAPY
PO BOX 1901
MONROE, LA 71210-1901
Phone number: 318-327-4073
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