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1134668411
CRYSTAL BROUSSARD
LAFAYETTE, LA
NPI
1134668411
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Former Name
CRYSTAL ROBERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP09216)
Enumeration Date
2017-02-20
Last Update Date
2021-11-16
Business Address
CRYSTAL BROUSSARD FNP
203 ENERGY PKWY
LAFAYETTE, LA 70508-3815
Phone number: 337-266-8483
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Mailing Address
CRYSTAL BROUSSARD FNP
4401 S CLAIBORNE AVE
NEW ORLEANS, LA 70125-5105
Phone number: 504-891-7737
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