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1730808866
SOUTHERN SPROUTS PEDIATRICS, LLC
ALEXANDRIA, LA
NPI
1730808866
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Entity Type
Organization
Authorized Contact
HEATHER RENEE RACHAL
Nurse Practitioner/Co Owner
318-729-4265
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
SOUTHERN SPROUTS PEDIATRICS, LLC
217 BREVARD CT STE D
ALEXANDRIA, LA 71303-3997
Phone number: 318-777-6887
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Mailing Address
SOUTHERN SPROUTS PEDIATRICS, LLC
PO BOX 13211
ALEXANDRIA, LA 71315-3211
Phone number: 318-777-6887
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