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1922005206
BRYAN KEITH MELANCON
BATON ROUGE, LA
NPI
1922005206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 87222-4549)
Enumeration Date
2005-07-01
Last Update Date
2018-06-19
Business Address
BRYAN KEITH MELANCON NP
8585 PICARDY AVE
BATON ROUGE, LA 70809
Phone number: 225-763-4764
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Mailing Address
BRYAN KEITH MELANCON NP
8585 PICARDY AVE
BATON ROUGE, LA 70809-3748
Phone number: 225-763-4764
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