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1376274340
JENCY MARIE BROUSSARD
LAFAYETTE, LA
NPI
1376274340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
JENCY MARIE BROUSSARD PA-C
1211 COOLIDGE STREET
LAFAYETTE, LA 70503
Phone number: 337-232-6697
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Mailing Address
JENCY MARIE BROUSSARD PA-C
308 SOMMERSET DR
LAFAYETTE, LA 70506-5714
Phone number: 337-852-1069
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