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1831932243
BRETT BANKSTON
BATON ROUGE, LA
NPI
1831932243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 1197616)
Enumeration Date
2024-06-13
Last Update Date
2024-06-14
Business Address
Mr. BRETT BANKSTON PA-C
8888 SUMMA AVE FL 3
BATON ROUGE, LA 70809-3772
Phone number: 225-763-4000
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Mailing Address
Mr. BRETT BANKSTON PA-C
18023 OLD TRAIL DR
PRAIRIEVILLE, LA 70769-5586
Phone number: 225-276-3618
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