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1548005127
ASHLEY ELIZABETH BROUSSARD
SAN DIEGO, CA
NPI
1548005127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95029788)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
ASHLEY ELIZABETH BROUSSARD FNP
220 EUCLID AVE STE 30
SAN DIEGO, CA 92114-3617
Phone number: 888-743-7526
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Mailing Address
ASHLEY ELIZABETH BROUSSARD FNP
6364 50TH ST
SAN DIEGO, CA 92120-2730
Phone number: 337-241-3011
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