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Individual

JESSICA BRUNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4450 BLUEBONNET BLVD STE C, BATON ROUGE, LA 70809-9649
(225) 256-1163
(225) 769-3395
Mailing address
37267 LONGWOOD AVE, PRAIRIEVILLE, LA 70769-3570

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5708
LA

Other

Enumeration date
05/03/2007
Last updated
09/23/2020
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