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1013561166
BRANDI ELIZABETH BORDELON
RUSTON, LA
NPI
1013561166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 206789)
Enumeration Date
2019-07-27
Last Update Date
2019-07-27
Business Address
Miss BRANDI ELIZABETH BORDELON FNP-C
192 BASTILLE LN STE 200
RUSTON, LA 71270-7150
Phone number: 318-232-1500
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Mailing Address
Miss BRANDI ELIZABETH BORDELON FNP-C
5 LEE ANN ST
RAYVILLE, LA 71269-5529
Phone number: 318-403-1590
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