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Organization

ABSOLUTE MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLANIYI Y OLUPONA (ADMINISTRATION)
(337) 474-6044
Entity
Organization

Contact information

Practice address
124 STATE ST, LAKE CHARLES, LA 70605-5735
(337) 474-6044
(337) 474-6074
Mailing address
124 STATE ST, LAKE CHARLES, LA 70605-5735
(337) 474-6044
(337) 474-6074

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/25/2009
Last updated
06/25/2009
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