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1134691215
ALAIN BROULARD
VENICE, CA
NPI
1134691215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95009764)
Enumeration Date
2018-12-29
Last Update Date
2018-12-29
Business Address
ALAIN BROULARD
1122 GARFIELD AVE
VENICE, CA 90291-4937
Phone number: 818-384-0927
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Mailing Address
ALAIN BROULARD
1122 GARFIELD AVE
VENICE, CA 90291-4937
Phone number: 818-384-0927
Copy
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