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1598896961
GRACE FAMILY MEDICAL CENTER
BATON ROUGE, LA
NPI
1598896961
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Entity Type
Organization
Authorized Contact
ALENCIA CLAYTON ELLIS
Physician Assistant
225-381-6765
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-03-08
Last Update Date
2020-08-22
Business Address
GRACE FAMILY MEDICAL CENTER
3849 NORTH BLVD SUITE 100
BATON ROUGE, LA 70806-3854
Phone number: 225-381-6765
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Mailing Address
GRACE FAMILY MEDICAL CENTER
24438 PLANK RD
SLAUGHTER, LA 70777-9701
Phone number: 225-381-6765
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