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1871162180
MENT LC
BATON ROUGE, LA
NPI
1871162180
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Entity Type
Organization
Authorized Contact
JERICA MITCHELL
Owner
225-725-2812
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
MENT LC
4500 GOVERNMENT ST # 64655
BATON ROUGE, LA 70806-5817
Phone number: 225-725-2812
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Mailing Address
MENT LC
4500 GOVERNMENT ST # 64655
BATON ROUGE, LA 70806-5817
Phone number: 225-725-2812
Copy
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