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Organization
GRAMBLING STATE UNIVERSITY
Active
Organization
GRAMBLING STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICE OUTLEY N.P. (DIRECTOR OF STUDENT HEALTH SERVICES)
(318) 274-2351
Entity
Organization
Contact information
Practice address
403 MAIN ST, GRAMBLING, LA 71245-2715
(318) 274-2351
Mailing address
403 MAIN ST, P.O. BOX 4251, GRAMBLING, LA 71245-2715
(318) 274-2351
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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