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1538561048
KELLY BROUSSARD
SLIDELL, LA
NPI
1538561048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 07870)
Enumeration Date
2014-09-16
Last Update Date
2016-02-24
Business Address
-- KELLY BROUSSARD
1700 LINDBERG DR
SLIDELL, LA 70458-8062
Phone number: 985-649-4063
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Mailing Address
-- KELLY BROUSSARD
4664 PAINTERS ST
NEW ORLEANS, LA 70122-5002
Phone number:
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