MARK A BROUSSARD

CROWLEY, LA
NPI1083783302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  LA4905)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- MARK A BROUSSARD DDS
608 NORTH AVENUE K
CROWLEY, LA 70526
Phone number: 337-788-0677
Mailing Address
-- MARK A BROUSSARD DDS
608 NORTH AVENUE K
CROWLEY, LA 70526
Phone number: 337-788-0677
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