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1073511903
GERALD BALL BROUSSARD
MONROE, LA
NPI
1073511903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: LA 014616)
Enumeration Date
2005-07-13
Last Update Date
2007-07-09
Business Address
Dr. GERALD BALL BROUSSARD md
1250 PECANLAND RD SUITE E-1
MONROE, LA 71203-7011
Phone number: 318-387-2015
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Mailing Address
Dr. GERALD BALL BROUSSARD md
1250 PECANLAND RD SUITE E-1
MONROE, LA 71203-7011
Phone number: 318-387-2015
Copy
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