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1174304042
ABIGAIL DAVIS BOGAN
BOSSIER CITY, LA
NPI
1174304042
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Former Name
ABIGAIL DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2023-10-09
Last Update Date
2023-12-20
Business Address
ABIGAIL DAVIS BOGAN PA-C
5341 AIRLINE DR
BOSSIER CITY, LA 71111-6710
Phone number: 318-935-1820
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Mailing Address
ABIGAIL DAVIS BOGAN PA-C
5341 AIRLINE DR STE 130
BOSSIER CITY, LA 71111-6710
Phone number: 318-935-1820
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