RUSSELL SANBORN

MANDEVILLE, LA
NPI1215715297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  229532)
Enumeration Date2023-09-20
Last Update Date2023-09-20
Business Address
RUSSELL SANBORN FNP
231 SAINT ANN DR STE 2
MANDEVILLE, LA 70471-3476
Phone number: 985-624-5410
Mailing Address
RUSSELL SANBORN FNP
67037 THACKERY ST
MANDEVILLE, LA 70471-6901
Phone number: 504-442-2199
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