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1235369562
EDWARD JAMES BROUSSARD
LAFAYETTE, LA
NPI
1235369562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 11752)
Enumeration Date
2009-07-21
Last Update Date
2009-07-21
Business Address
Mr. EDWARD JAMES BROUSSARD RPH
411 HARRELL DR
LAFAYETTE, LA 70503-4822
Phone number: 337-984-9660
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Mailing Address
Mr. EDWARD JAMES BROUSSARD RPH
411 HARRELL DR
LAFAYETTE, LA 70503-4822
Phone number: 337-984-9660
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