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Organization
ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC
Active
Organization
ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE MICHELLE WILLIS (CLINIC MANAGER)
(337) 786-6161
Entity
Organization
Contact information
Practice address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
(337) 786-7999
Mailing address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
(337) 786-7999
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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