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1144240011
MARLENE MARIE BROUSSARD
SHREVEPORT, LA
NPI
1144240011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 024730)
Enumeration Date
2006-07-20
Last Update Date
2012-07-09
Business Address
-- MARLENE MARIE BROUSSARD M.D.
1501 KINGS HWY DEPARTMENT OF PEDIATRICS
SHREVEPORT, LA 71103-4228
Phone number: 318-675-8600
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Mailing Address
-- MARLENE MARIE BROUSSARD M.D.
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-675-7636
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