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MR. BREALON MICHAEL LIRETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
5599 HIGHWAY 311, HOUMA, LA 70360-2866
(985) 857-3615
Mailing address
242 WOODWIND DR, HOUMA, LA 70360-3996

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP09510
LA

Other

Enumeration date
07/20/2017
Last updated
07/20/2017
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