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1912303330
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC
SHREVEPORT, LA
NPI
1912303330
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Entity Type
Organization
Authorized Contact
JOSEPH ANTHONY GOMEZ
Director Of O&P
318-226-4279
Organization Subpart ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2014-11-12
Last Update Date
2016-02-02
Business Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-226-3310
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Mailing Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-SOUTHEAST, LLC
PO BOX 865109
ORLANDO, FL 32886-5109
Phone number: 844-602-3960
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