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1659552552
ACCEPTANCE KIDMED OF LA, LLC
BATON ROUGE, LA
NPI
1659552552
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Entity Type
Organization
Authorized Contact
SHARITA DAVIS ACKLIN
Owner
225-928-5362
Organization Subpart ?
No
Primary Taxonomy
170100000X Medical Genetics, Ph.D. Medical Genetics
Enumeration Date
2007-11-19
Last Update Date
2007-11-19
Business Address
ACCEPTANCE KIDMED OF LA, LLC
2156 WOODDALE BLVD SUITE 140
BATON ROUGE, LA 70806-1403
Phone number: 225-928-5362
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Mailing Address
ACCEPTANCE KIDMED OF LA, LLC
2156 WOODDALE BLVD SUITE 140
BATON ROUGE, LA 70806-1403
Phone number: 225-928-5362
Copy
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