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1992478754
BREANNE ELIZABETH OSTLAND
SHREVEPORT, LA
NPI
1992478754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
BREANNE ELIZABETH OSTLAND PA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
BREANNE ELIZABETH OSTLAND PA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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