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1124771027
MARCUS BROUSSARD
ROWLAND HEIGHTS, CA
NPI
1124771027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
MARCUS BROUSSARD
17462 COLIMA RD
ROWLAND HEIGHTS, CA 91748-1633
Phone number: 855-223-7123
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Mailing Address
MARCUS BROUSSARD
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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