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1114665387
ALEXIS BROUSSARD BLANCHARD
LAFAYETTE, LA
NPI
1114665387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 8228)
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
ALEXIS BROUSSARD BLANCHARD
113 CHAPLIN DR
LAFAYETTE, LA 70508-2101
Phone number: 337-521-7000
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Mailing Address
ALEXIS BROUSSARD BLANCHARD
4264 BEAU RD
MAURICE, LA 70555-3748
Phone number:
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