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1184165276
BRADY D MALBROUGH
THIBODAUX, LA
NPI
1184165276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP09161)
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
BRADY D MALBROUGH NP
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone number: 985-447-5500
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Mailing Address
BRADY D MALBROUGH NP
PO BOX 123690 DEPT. 3690
DALLAS, TX 75312-3690
Phone number: 855-686-8430
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