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1174037832
GREGORY BONVILLIAN
BAKER, LA
NPI
1174037832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-16
Last Update Date
2018-06-16
Business Address
GREGORY BONVILLIAN
350 MAIN ST
BAKER, LA 70714-3767
Phone number: 225-778-6783
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Mailing Address
GREGORY BONVILLIAN
11349 COPPERWOOD DR
DENHAM SPRINGS, LA 70726-6087
Phone number: 225-892-0103
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