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1184248684
JACOB PAUL BROUSSARD
ERATH, LA
NPI
1184248684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200192)
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
Mr. JACOB PAUL BROUSSARD ATC, LAT
808 S BROADWAY ST
ERATH, LA 70533-4014
Phone number: 337-937-8451
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Mailing Address
Mr. JACOB PAUL BROUSSARD ATC, LAT
408 PEAR TREE CIR
BROUSSARD, LA 70518-7237
Phone number:
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