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1407147291
ANDRE PAUL BROUSSARD
SHREVEPORT, LA
NPI
1407147291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: LA 300911)
Enumeration Date
2011-04-27
Last Update Date
2016-05-24
Business Address
-- ANDRE PAUL BROUSSARD MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5053
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Mailing Address
-- ANDRE PAUL BROUSSARD MD
120 RUE LOUIS XIV
LAFAYETTE, LA 70508-5739
Phone number: 337-769-7779
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