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1427793074
MICHAEL BROUSSARD
SAN ANTONIO, TX
NPI
1427793074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-28
Last Update Date
2022-04-28
Business Address
MICHAEL BROUSSARD DPM
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-567-5125
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Mailing Address
MICHAEL BROUSSARD DPM
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 254-415-9869
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