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1881120103
BRYAN GOTTSHALL
LAFAYETTE, LA
NPI
1881120103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2017-05-05
Last Update Date
2017-05-05
Business Address
-- BRYAN GOTTSHALL
317 SMITH REED RD
LAFAYETTE, LA 70507-2605
Phone number: 255-239-2301
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Mailing Address
-- BRYAN GOTTSHALL
PO BOX 187
CARENCRO, LA 70520-0187
Phone number:
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