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1154543833
AVIS MARIE BROUSSARD
SOUTHFIELD, MI
NPI
1154543833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 11532)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Dr. AVIS MARIE BROUSSARD D,D.S.
24800 LAHSER RD
SOUTHFIELD, MI 48034-3237
Phone number: 248-357-1999
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Mailing Address
Dr. AVIS MARIE BROUSSARD D,D.S.
24800 LAHSER RD
SOUTHFIELD, MI 48034-3237
Phone number: 248-357-1999
Copy
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