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1144922253
BRANNON WADE BROUSSARD
PLANO, TX
NPI
1144922253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
BRANNON WADE BROUSSARD MD
3901 W 15TH ST
PLANO, TX 75075-7738
Phone number: 817-347-1141
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Mailing Address
BRANNON WADE BROUSSARD MD
3901 W 15TH ST
PLANO, TX 75075-7738
Phone number: 817-347-1141
Copy
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