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GIGI BRIONES RUSSEL FROST RDH

Dental Hygienist

Barksdale Afb, Louisiana

Provider NPI: 1326197435

Provider Information:
 GIGI BRIONES RUSSEL FROST RDH
Gender: F
Not Sole Proprietor

Practice Location:
1067 TWINING DR.  BARKSDALE AFB, LA 71110 US
Tel: 318-456-6620  Fax: 318-456-6636

Business Mailing Address:
5539 MEADOWSWEET CIR  BOSSIER CITY, LA 71112 US
Tel: 318-456-6620  Fax: 318-456-6636

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
FLDH 18763





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