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1053630467
BRANDON MATTHEW BROADUS
MANDEVILLE, LA
NPI
1053630467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1535)
Enumeration Date
2010-05-25
Last Update Date
2021-02-17
Business Address
Dr. BRANDON MATTHEW BROADUS D.C.
102 FONTAINBLEAU DR # D1
MANDEVILLE, LA 70471-6518
Phone number: 985-400-5300
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Mailing Address
Dr. BRANDON MATTHEW BROADUS D.C.
102 FONTAINBLEAU DR # D1
MANDEVILLE, LA 70471-6518
Phone number: 985-789-1720
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