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1871116095
TINA MAYO WOMACK
BATON ROUGE, LA
NPI
1871116095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
TINA MAYO WOMACK
18017 GLEN PARK DR
BATON ROUGE, LA 70817-9583
Phone number: 225-588-6292
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Mailing Address
TINA MAYO WOMACK
18017 GLEN PARK DR
BATON ROUGE, LA 70817-9583
Phone number: 225-588-6292
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