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1154457190
BRYAN ANTHONY BOUZIGARD
CUT OFF, LA
NPI
1154457190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4533)
Enumeration Date
2007-02-26
Last Update Date
2007-07-09
Business Address
-- BRYAN ANTHONY BOUZIGARD D.D.S.
15384 W MAIN ST
CUT OFF, LA 70345-3411
Phone number: 985-632-4394
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Mailing Address
-- BRYAN ANTHONY BOUZIGARD D.D.S.
15384 W MAIN ST
CUT OFF, LA 70345-3411
Phone number: 985-632-4394
Copy
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