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Organization
BABS AESTHETIC PLLC
Active
Organization
BABS AESTHETIC PLLC
Active
Other names
Luxe Radiance Aesthetic and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN BABALOLA (PRESIDENT)
(850) 294-1761
Entity
Organization
Contact information
Practice address
715 2ND AVE N, CLANTON, AL 35045-3424
(850) 294-1761
Mailing address
9539 WARHAWK RD, JACKSONVILLE, FL 32221-8040
(850) 294-1761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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