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Organization

BILLEDEAUX HEARING CENTER LLC

Active
Other names
Miracle Ear
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FREDERICK BILLEDEAUX (OWNER/ MANAGER)
(337) 989-4327
Entity
Organization

Contact information

Practice address
1625 E COUNTY LINE RD, JACKSON, MS 39211-1837
(337) 989-4327
(337) 704-2240
Mailing address
4414 JOHNSTON ST, LAFAYETTE, LA 70503-4253
(337) 989-4327
(337) 704-2240

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
HA0578
MS

Other

Enumeration date
01/22/2013
Last updated
01/22/2013
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