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1790876019
DESTREHAN MEDICAL CLINIC
DESTREHAN, LA
NPI
1790876019
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Entity Type
Organization
Authorized Contact
CHEMMALE JAYAKRISHNAN
President/Doctor
985-785-2045
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2006-09-28
Last Update Date
2022-07-21
Business Address
DESTREHAN MEDICAL CLINIC
12604 RIVER RD
DESTREHAN, LA 70047-5306
Phone number: 985-764-0439
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Mailing Address
DESTREHAN MEDICAL CLINIC
12604 RIVER RD
DESTREHAN, LA 70047-5306
Phone number: 985-764-0439
Copy
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