JASON BROUSSARD

SHREVEPORT, LA
NPI1376744771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  DO.000136)
Enumeration Date2007-05-31
Last Update Date2022-10-04
Business Address
JASON BROUSSARD D.O.
1111 LINE AVE FL 3
SHREVEPORT, LA 71101-3841
Phone number: 318-716-4610
Mailing Address
JASON BROUSSARD D.O.
1111 LINE AVE FL 3
SHREVEPORT, LA 71101-3841
Phone number: 318-716-4610
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