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1407520703
BREANN A. BONNER
NEW ORLEANS, LA
NPI
1407520703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 328277)
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
BREANN A. BONNER PA
1401 FOUCHER ST
NEW ORLEANS, LA 70115-3515
Phone number: 504-897-7011
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Mailing Address
BREANN A. BONNER PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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