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Organization

COMMON GROUND HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOR ODU NDEP MPH (EXECUTIVE DIRECTOR)
(504) 365-8800
Entity
Organization

Contact information

Practice address
1400 TECHE ST, NEW ORLEANS, LA 70114-5843
(504) 365-8800
(504) 368-9836
Mailing address
1400 TECHE ST, NEW ORLEANS, LA 70114-5843
(504) 365-8800
(504) 368-9836

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
LA

Other

Enumeration date
06/02/2009
Last updated
06/02/2009
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