JACOB STEVEN BROUSSARD

LEESVILLE, LA
NPI1285138958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  022088)
Enumeration Date2018-03-19
Last Update Date2018-03-19
Business Address
JACOB STEVEN BROUSSARD
2204 S 5TH ST
LEESVILLE, LA 71446-5318
Phone number: 337-238-9041
Mailing Address
JACOB STEVEN BROUSSARD
212 N FERNAND ST
DELCAMBRE, LA 70528-3004
Phone number:
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