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1386837953
MARY ELIZABETH BROUSSARD
LAFAYETTE, LA
NPI
1386837953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z11181)
Enumeration Date
2007-08-27
Last Update Date
2007-08-27
Business Address
Mrs. MARY ELIZABETH BROUSSARD B.A., B.S.
107 BRIARMEADOW DR
LAFAYETTE, LA 70508-7210
Phone number: 337-857-1331
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Mailing Address
Mrs. MARY ELIZABETH BROUSSARD B.A., B.S.
107 BRIARMEADOW DR
LAFAYETTE, LA 70508-7210
Phone number: 337-857-1331
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