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1811183221
WALDHEIM FAMILY PRACTICE CLINIC
COVINGTON, LA
NPI
1811183221
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Entity Type
Organization
Authorized Contact
RICHARD J SANDERS
Physician
985-893-0486
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 017339)
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
WALDHEIM FAMILY PRACTICE CLINIC
77173 HIGHWAY 21
COVINGTON, LA 70435-4011
Phone number: 985-893-0486
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Mailing Address
WALDHEIM FAMILY PRACTICE CLINIC
77173 HIGHWAY 21
COVINGTON, LA 70435-4011
Phone number: 985-893-0486
Copy
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