Individual
GUNNER BRYANT WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
LSU ATHLETICS ADMINISTRATION BUILDING, BATON ROUGE, LA 70803-0001
(225) 578-8001
Mailing address
4850 RAYMOND LABAUVE DR, BRUSLY, LA 70719-2334
(225) 252-9395
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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