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1003145988
PAUL OLIVIER BROUSSARD
LEMOORE, CA
NPI
1003145988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 43332)
Enumeration Date
2009-12-23
Last Update Date
2023-10-04
Business Address
Mr. PAUL OLIVIER BROUSSARD R.Ph.
209 C ST
LEMOORE, CA 93245-2930
Phone number: 559-925-8600
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Mailing Address
Mr. PAUL OLIVIER BROUSSARD R.Ph.
215 W HANFORD ARMONA RD
LEMOORE, CA 93245
Phone number: 559-924-6495
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