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1891370722
JOHNNY EARL BRYAN
WEST MONROE, LA
NPI
1891370722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 218605)
Enumeration Date
2021-03-11
Last Update Date
2024-04-09
Business Address
Mr. JOHNNY EARL BRYAN FNP-C
420 WHEELIS ST
WEST MONROE, LA 71292-3940
Phone number: 318-556-8455
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Mailing Address
Mr. JOHNNY EARL BRYAN FNP-C
PO BOX 792
BASTROP, LA 71221-0792
Phone number: 318-556-8454
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