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1548242217
IRENE L BROUSSARD
AUSTIN, TX
NPI
1548242217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 42127)
Enumeration Date
2005-11-17
Last Update Date
2018-06-01
Business Address
IRENE L BROUSSARD CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705
Phone number: 512-454-2454
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Mailing Address
IRENE L BROUSSARD CRNA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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