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1164790937
JESSICA LA GRECO BROUSSE
SLIDELL, LA
NPI
1164790937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP06669)
Enumeration Date
2011-12-08
Last Update Date
2018-03-09
Business Address
JESSICA LA GRECO BROUSSE A.P.R.N., F.N.P.-C.
1520 GAUSE BLVD
SLIDELL, LA 70458-2208
Phone number: 985-646-0945
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Mailing Address
JESSICA LA GRECO BROUSSE A.P.R.N., F.N.P.-C.
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0001
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