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1265084537
JOHN MARCUS BRODERICK
BATON ROUGE, LA
NPI
1265084537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
JOHN MARCUS BRODERICK
7946 GOODWOOD BLVD
BATON ROUGE, LA 70806-7629
Phone number: 225-590-3313
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Mailing Address
JOHN MARCUS BRODERICK
3409 PARKWAY DR
ALEXANDRIA, LA 71301-4031
Phone number: 318-955-2110
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