BRIAN C PRIMEAUX

SHREVEPORT, LA
NPI1164762191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA  46416)
Enumeration Date2013-02-28
Last Update Date2013-05-27
Business Address
-- BRIAN C PRIMEAUX
5610 BUNCOMBE RD APT. 1011
SHREVEPORT, LA 71129-2697
Phone number: 337-852-6386
Mailing Address
-- BRIAN C PRIMEAUX
5610 BUNCOMBE RD APT. 1011
SHREVEPORT, LA 71129-2697
Phone number: 337-852-6386
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