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1548826803
BRAINWIRE LLC
LAFAYETTE, LA
NPI
1548826803
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Entity Type
Organization
Authorized Contact
ADAM FOREMAN
Owner
337-739-7037
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
Enumeration Date
2019-05-13
Last Update Date
2022-03-30
Business Address
BRAINWIRE LLC
128 KEENELAND LN
LAFAYETTE, LA 70503-6213
Phone number: 337-739-7037
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Mailing Address
BRAINWIRE LLC
2851 JOHNSTON ST PMB 512
LAFAYETTE, LA 70503-3243
Phone number:
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