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1477592764
MARQUE D BROUSSARD
ALBUQUERQUE, NM
NPI
1477592764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM MD2005-0484)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
-- MARQUE D BROUSSARD MD
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108-4729
Phone number: 904-805-1300
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Mailing Address
-- MARQUE D BROUSSARD MD
PO BOX 676065
DALLAS, TX 75267-6065
Phone number: 904-805-1300
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