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1578120069
GARRETT RILEY BUNNELL
SLIDELL, LA
NPI
1578120069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA 202909)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
GARRETT RILEY BUNNELL PNP
1430 LINDBERG DR
SLIDELL, LA 70458-8056
Phone number: 985-781-7337
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Mailing Address
GARRETT RILEY BUNNELL PNP
59101 AMBER ST
SLIDELL, LA 70461-3708
Phone number: 985-646-1580
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