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1295399608
RANISA WASHINGTON BROUSSARD
BATON ROUGE, LA
NPI
1295399608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
Mrs. RANISA WASHINGTON BROUSSARD
5850 FLORIDA BLVD
BATON ROUGE, LA 70806-4247
Phone number: 225-201-0696
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Mailing Address
Mrs. RANISA WASHINGTON BROUSSARD
5850 FLORIDA BLVD
BATON ROUGE, LA 70806-4247
Phone number: 225-201-0696
Copy
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