BRANDON DONALD BRYAN

RUSTON, LA
NPI1609032481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN107925 AP05353)
Enumeration Date2008-07-31
Last Update Date2008-07-31
Business Address
-- BRANDON DONALD BRYAN CRNA
401 E VAUGHN AVE
RUSTON, LA 71270-5950
Phone number: 318-294-1187
Mailing Address
-- BRANDON DONALD BRYAN CRNA
135 CREEKS XING
RUSTON, LA 71270-1764
Phone number: 318-294-1187
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