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1871732669
DELTA MEDICAL PRACTICES, L.L.C.
BASTROP, LA
NPI
1871732669
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Entity Type
Organization
Authorized Contact
CHARLES GOODWIN GLADNEY
Manager
318-281-0078
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2009-02-18
Last Update Date
2009-02-18
Business Address
DELTA MEDICAL PRACTICES, L.L.C.
510 S WASHINGTON ST
BASTROP, LA 71220-5033
Phone number: 318-556-3333
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Mailing Address
DELTA MEDICAL PRACTICES, L.L.C.
1523 TEXAS AVE
BASTROP, LA 71220-4043
Phone number:
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