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1053428342
SANDRA LEE BROMMELAND GONZALEZ
THIBODAUX, LA
NPI
1053428342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: LA AP 5139)
Enumeration Date
2006-08-24
Last Update Date
2015-01-27
Business Address
MS. SANDRA LEE BROMMELAND GONZALEZ APRN-BC
1101 AUDUBON AVE
THIBODAUX, LA 70301-4957
Phone number: 985-857-3615
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Mailing Address
MS. SANDRA LEE BROMMELAND GONZALEZ APRN-BC
929 BAYOU DULARGE RD
HOUMA, LA 70363-7614
Phone number: 985-872-3550
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