ProviderBusinessMailingAddressFaxNumber = '2256158212'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1801210133
CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
PO BOX 66156
BATON ROUGE
LA
708966156
1255715546
LACARRIERE
JENNIFER
PO BOX 66156
BATON ROUGE
LA
708966156
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