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1508200577
KIMBERLY MARIE BROUSSARD
HOUMA, LA
NPI
1508200577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200597)
Enumeration Date
2013-04-22
Last Update Date
2023-07-20
Business Address
KIMBERLY MARIE BROUSSARD PA
249 CORPORATE DR
HOUMA, LA 70360-2769
Phone number: 985-853-0900
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Mailing Address
KIMBERLY MARIE BROUSSARD PA
249 CORPORATE DR
HOUMA, LA 70360-2769
Phone number: 985-853-0900
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