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1760139315
BRANDIE NICOLE JEANISE
ALEXANDRIA, LA
NPI
1760139315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 8968)
Enumeration Date
2022-03-03
Last Update Date
2022-03-03
Business Address
BRANDIE NICOLE JEANISE
4515 EDDIE WILLIAMS AVE
ALEXANDRIA, LA 71302-3628
Phone number: 318-880-2415
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Mailing Address
BRANDIE NICOLE JEANISE
4515 EDDIE WILLIAMS AVE
ALEXANDRIA, LA 71302-3628
Phone number: 318-880-2415
Copy
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