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1609466044
LIFE UNLIMITED, LLC
LAFAYETTE, LA
NPI
1609466044
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Entity Type
Organization
Authorized Contact
RAQUEL MCCORVEY
Family Nurse Practitioner
337-212-4122
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
LIFE UNLIMITED, LLC
349 MARYVIEW FARM ROAD LAFAYETTE, LA 70507
LAFAYETTE, LA 70507
Phone number: 337-212-4122
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Mailing Address
LIFE UNLIMITED, LLC
349 MARYVIEW FARM ROAD LAFAYETTE, LA 70507
LAFAYETTE, LA 70507
Phone number: 337-212-4122
Copy
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