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1083685762
MARTHA A BROUSSARD
BATON ROUGE, LA
NPI
1083685762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP01010)
Enumeration Date
2006-01-30
Last Update Date
2007-07-09
Business Address
Ms. MARTHA A BROUSSARD CRNA
4950 ESSEN LN REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809-3432
Phone number: 225-214-6688
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Mailing Address
Ms. MARTHA A BROUSSARD CRNA
PO BOX 661495
BIRMINGHAM, AL 35266-1495
Phone number: 205-979-5882
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