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1124601026
SHELLEY BROUSSARD
LAFAYETTE, LA
NPI
1124601026
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Former Name
SHELLEY JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: LA 48443)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
SHELLEY BROUSSARD RN,BSN,IBCLC
4630 AMBASSADOR CAFFERY PKWY STE 204
LAFAYETTE, LA 70508-6949
Phone number: 337-470-5546
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Mailing Address
SHELLEY BROUSSARD RN,BSN,IBCLC
4704 AMBASSADOR CAFFERY PKWY FL PAKWAY2
LAFAYETTE, LA 70508-6908
Phone number: 337-470-5594
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