Individual
BRELYNN DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4000
Mailing address
3200 STERLINGTON RD APT 701, MONROE, LA 71203-2698
(601) 551-9288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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