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1477780526
MICHAEL ALLEN BROUSSEAU
BISMARCK, ND
NPI
1477780526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 1537)
Enumeration Date
2009-06-16
Last Update Date
2009-06-16
Business Address
-- MICHAEL ALLEN BROUSSEAU DPT
1833 E BISMARCK EXPY
BISMARCK, ND 58504-6708
Phone number: 701-323-5222
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Mailing Address
-- MICHAEL ALLEN BROUSSEAU DPT
1833 E BISMARCK EXPY
BISMARCK, ND 58504-6708
Phone number: 701-323-5222
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