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1265181556
GLORIA BROKENBERRY
STONEWALL, LA
NPI
1265181556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
GLORIA BROKENBERRY
1318 HIGHWAY 171
STONEWALL, LA 71078-9403
Phone number: 318-906-5054
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Mailing Address
GLORIA BROKENBERRY
PO BOX 1
GLOSTER, LA 71030-0001
Phone number: 318-461-9960
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