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1205920071
JOHNNY RAY BEAR
MARRERO, LA
NPI
1205920071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4162)
Enumeration Date
2006-10-03
Last Update Date
2013-10-28
Business Address
-- JOHNNY RAY BEAR D.D.S.
4905 WICHERS DR UNIT A
MARRERO, LA 70072-3028
Phone number: 504-340-4888
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Mailing Address
-- JOHNNY RAY BEAR D.D.S.
4905 WICHERS DR UNIT A
MARRERO, LA 70072-3028
Phone number: 504-340-4888
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