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1235866906
BENJAMIN PATRICK BROUILLETTE
ALEXANDRIA, LA
NPI
1235866906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 0994)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
BENJAMIN PATRICK BROUILLETTE
3600 JACKSON ST
ALEXANDRIA, LA 71303-3040
Phone number: 318-625-7050
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Mailing Address
BENJAMIN PATRICK BROUILLETTE
120 HIDDEN PATH DR
PINEVILLE, LA 71360-2202
Phone number: 318-794-0419
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