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Individual

BREANNE BOGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1217 JAMES ST, MORGAN CITY, LA 70380-6035
(985) 870-2294
Mailing address
1217 JAMES ST, MORGAN CITY, LA 70380-6035
(985) 870-2294

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
LA

Other

Enumeration date
03/17/2022
Last updated
03/18/2022
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