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Organization

DR. BRYAN J. DUFRENE

Active
Other names
Whole Body Health & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYAN J DUFRENE DC (EXECUTIVE DIRECTOR)
(985) 537-7187
Entity
Organization

Contact information

Practice address
3742 HIGHWAY 1, RACELAND, LA 70394-3141
(985) 537-7187
(985) 537-7188
Mailing address
3742 HIGHWAY 1, RACELAND, LA 70394-3141
(985) 537-7187
(985) 537-7188

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
656
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2183A
BLUE CROSS/BLUE SHEILD
LA
Enumeration date
04/01/2009
Last updated
05/07/2009
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