OPUS COALESCE

COVINGTON, LA
NPI1659728269
Entity TypeOrganization
Authorized ContactJASON DOMANGUE
Sole Member
985-892-8934
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
OPUS COALESCE
71107 HIGHWAY 21
COVINGTON, LA 70433-7243
Phone number: 985-246-5670
Mailing Address
OPUS COALESCE
127 HIGHWAY 22 E APT NS
MADISONVILLE, LA 70447-9306
Phone number:
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