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1083987713
SCOTTY BROUSSARD
AUSTIN, TX
NPI
1083987713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: TX AC01087)
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
-- SCOTTY BROUSSARD L.AC.
3201 BEE CAVE RD SUITE 154
AUSTIN, TX 78746-6771
Phone number: 512-330-1772
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Mailing Address
-- SCOTTY BROUSSARD L.AC.
2613 ALCOTT LN UNIT A
AUSTIN, TX 78748-5662
Phone number: 512-497-8075
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