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1861635260
WASHINGTON WOUND CARE LLC
BOGALUSA, LA
NPI
1861635260
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Entity Type
Organization
Authorized Contact
PURNACHANDRA R YERNENI
Sole Mbr
985-732-9940
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: LA 10096R)
Enumeration Date
2009-04-14
Last Update Date
2009-04-14
Business Address
WASHINGTON WOUND CARE LLC
1011 AVENUE F
BOGALUSA, LA 70427-4334
Phone number: 985-732-9940
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Mailing Address
WASHINGTON WOUND CARE LLC
1011 AVENUE F
BOGALUSA, LA 70427-4334
Phone number: 985-732-9940
Copy
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