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Individual

MARINA BRYNN DOUCET

Active
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Individual

MARINA BRYNN DOUCET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
342836
LA
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2671669
LA
Enumeration date
05/23/2024
Last updated
05/21/2026
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