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1447796552
BRADLEE JAMES BOURGEOIS
KENNER, LA
NPI
1447796552
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Former Name
BRAD JOSEPH DANOS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: LA AP09125)
Enumeration Date
2017-01-12
Last Update Date
2024-09-06
Business Address
Mr. BRADLEE JAMES BOURGEOIS NP-C
1600 WILLIAMS BLVD
KENNER, LA 70062-6304
Phone number: 504-465-1506
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Mailing Address
Mr. BRADLEE JAMES BOURGEOIS NP-C
1600 WILLIAMS BLVD
KENNER, LA 70062-6304
Phone number: 504-465-1506
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