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1003393539
ALEXIS NOELLE BROUSSARD
COLUMBIA, SC
NPI
1003393539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 2085)
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
Dr. ALEXIS NOELLE BROUSSARD OD
280 HARBISON BLVD STE T
COLUMBIA, SC 29212-2247
Phone number: 803-732-9200
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Mailing Address
Dr. ALEXIS NOELLE BROUSSARD OD
8704 SOUTHAMPTON DR
MIRAMAR, FL 33025-2716
Phone number: 504-481-0472
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