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Individual

MR. SHERMAN DWAYNE BUNCH SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2428 RUE NOTRE DAME, TERRYTOWN, LA 70056-8221
(504) 416-9793
(504) 309-6688
Mailing address
PO BOX 56236, NEW ORLEANS, LA 70156-6236
(504) 416-9793
(504) 309-6688

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
02/28/2008
Last updated
02/28/2008
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