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1104002617
PAMELA BROUSSARD
LANCASTER, TX
NPI
1104002617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-01-14
Last Update Date
2022-04-29
Business Address
PAMELA BROUSSARD
470 CLOVERLEAF DR
LANCASTER, TX 75146-2917
Phone number: 972-754-2084
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Mailing Address
PAMELA BROUSSARD
470 CLOVERLEAF DR
LANCASTER, TX 75146-2917
Phone number: 972-754-2084
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