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1790089274
PREM MENON MD A MEDICAL CORPORATION
BATON ROUGE, LA
NPI
1790089274
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Entity Type
Organization
Authorized Contact
VIMLA MENON
Co Owner
225-766-6931
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 07041R)
Enumeration Date
2010-12-27
Last Update Date
2010-12-27
Business Address
PREM MENON MD A MEDICAL CORPORATION
5217 FLANDERS DR
BATON ROUGE, LA 70808-9169
Phone number: 225-766-6931
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Mailing Address
PREM MENON MD A MEDICAL CORPORATION
5217 FLANDERS DR
BATON ROUGE, LA 70808-9169
Phone number: 225-766-6931
Copy
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