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1952164436
BRAKEYLA NICOLE ANDRUS
LAFAYETTE, LA
NPI
1952164436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 234446)
Enumeration Date
2024-02-06
Last Update Date
2024-05-28
Business Address
BRAKEYLA NICOLE ANDRUS
102 ASMA BLVD STE 112
LAFAYETTE, LA 70508-3843
Phone number: 337-692-0153
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Mailing Address
BRAKEYLA NICOLE ANDRUS
102 ASMA BLVD STE 112
LAFAYETTE, LA 70508-3843
Phone number: 337-504-2332
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