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1659728269
OPUS COALESCE
COVINGTON, LA
NPI
1659728269
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Entity Type
Organization
Authorized Contact
JASON DOMANGUE
Sole Member
985-892-8934
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
OPUS COALESCE
71107 HIGHWAY 21
COVINGTON, LA 70433-7243
Phone number: 985-246-5670
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Mailing Address
OPUS COALESCE
127 HIGHWAY 22 E APT NS
MADISONVILLE, LA 70447-9306
Phone number:
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