SHANE T BROUSSARD

LAFAYETTE, LA
NPI1164468435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  A10272)
Enumeration Date2006-06-22
Last Update Date2009-02-03
Business Address
SHANE T BROUSSARD P.A.
1103 KALISTE SALOOM ROAD SUITE 102
LAFAYETTE, LA 70508-2920
Phone number: 337-234-5234
Mailing Address
SHANE T BROUSSARD P.A.
1103 KALISTE SALOOM ROAD SUITE 102
LAFAYETTE, LA 70508-2920
Phone number: 337-234-5234
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