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1043359706
JONATHAN D BREWER
MONROE, LA
NPI
1043359706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA PA.A10437.RX)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN D BREWER pa
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-330-7626
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Mailing Address
Mr. JONATHAN D BREWER pa
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-330-7626
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