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1194753913
BRUCE P. BROUILLETTE
SHREVEPORT, LA
NPI
1194753913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 014566)
Enumeration Date
2006-06-29
Last Update Date
2021-06-21
Business Address
BRUCE P. BROUILLETTE MD
3312 N MARKET ST
SHREVEPORT, LA 71107-4009
Phone number: 318-222-5270
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Mailing Address
BRUCE P. BROUILLETTE MD
3312 N MARKET ST
SHREVEPORT, LA 71107-4009
Phone number: 318-222-5270
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