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2126 S Edward Ave Gonzales LA 70737-3705 | |
| (225) 772-4950 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community Health Worker |
| Location | 2126 S Edward Ave, Gonzales, Louisiana |
| Authorized Official Name and Position | Suzanne Massey (CEO) |
| Authorized Official Contact | 2257724950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2006 Gonzales LA 70707-2006 Ph: (225) 772-4950 | 2126 S Edward Ave Gonzales LA 70737-3705 Ph: (225) 772-4950 |
| NPI Number | 1124298716 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124298716 | NPI | - | NPPES |
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