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1730801754
CLAY DEAN BRYANT
RUSTON, LA
NPI
1730801754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 227362)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
CLAY DEAN BRYANT
401 E VAUGHN AVE
RUSTON, LA 71270-5950
Phone number: 318-254-2100
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Mailing Address
CLAY DEAN BRYANT
176 HIGHWAY 148
RUSTON, LA 71270-8436
Phone number:
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