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1376006254
ELZIA RENA BROUSSARD
WAKE FOREST, NC
NPI
1376006254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2022-00924)
Enumeration Date
2019-04-09
Last Update Date
2024-01-19
Business Address
ELZIA RENA BROUSSARD MD
3000 ROGERS RD STE 210
WAKE FOREST, NC 27587-5745
Phone number: 919-385-2120
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Mailing Address
ELZIA RENA BROUSSARD MD
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
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