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Organization

GLORIA PHILLIPS

Active
Other names
Brianna sitting service
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA ANN PHILLIPS (OWNER)
(318) 201-2080
Entity
Organization

Contact information

Practice address
108 WAYNE ST, PINEVILLE, LA 71360-6733
(318) 201-2080
Mailing address
108 WAYNE ST, PINEVILLE, LA 71360-6733
(318) 201-2080

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
LA

Other

Enumeration date
05/27/2009
Last updated
07/21/2022
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