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1285120808
MOLLY BROOM
COVINGTON, LA
NPI
1285120808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA AP10113)
Enumeration Date
2018-07-06
Last Update Date
2018-07-10
Business Address
MRS. MOLLY BROOM FNP
1970 N HIGHWAY 190
COVINGTON, LA 70433
Phone number: 985-867-8585
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Mailing Address
MRS. MOLLY BROOM FNP
PO BOX 3370
COVINGTON, LA 70434-3370
Phone number: 985-400-5988
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