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1538440052
JAN E BRUCKMEIER
MANDEVILLE, LA
NPI
1538440052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: LA AP02518)
Enumeration Date
2011-08-30
Last Update Date
2011-08-30
Business Address
JAN E BRUCKMEIER APRN
4050 LONESOME RD STE A
MANDEVILLE, LA 70448-7085
Phone number: 985-246-2600
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Mailing Address
JAN E BRUCKMEIER APRN
4050 LONESOME RD STE A
MANDEVILLE, LA 70448-7085
Phone number: 985-246-2600
Copy
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