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1942515283
BRYAN JEANSONNE
MANDEVILLE, LA
NPI
1942515283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 18366)
Enumeration Date
2010-08-11
Last Update Date
2018-02-26
Business Address
BRYAN JEANSONNE
521 ASBURY DRIVE
MANDEVILLE, LA 70471
Phone number: 985-264-0512
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Mailing Address
BRYAN JEANSONNE
626 VILLAGE LN S APT B
MANDEVILLE, LA 70471-2988
Phone number:
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