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Individual

MR. BRIAN DAWSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1140 SHIRLEY RD, BUNKIE, LA 71322-1545
(318) 346-8005
Mailing address
1140 SHIRLEY RD, BUNKIE, LA 71322-1545

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1544761
LA
01
1679507412
NPI
LA
Enumeration date
01/10/2017
Last updated
01/28/2019
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