JORGE JOSE BRAVO

THIBODAUX, LA
NPI1598726853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: LA  MD.011992)
Enumeration Date2006-03-28
Last Update Date2007-07-08
Business Address
Dr. JORGE JOSE BRAVO md
602 N ACADIA RD
THIBODAUX, LA 70301-4847
Phone number: 985-493-4750
Mailing Address
Dr. JORGE JOSE BRAVO md
PO BOX 1449
THIBODAUX, LA 70302-1449
Phone number: 985-446-8994
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