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1578880753
LAVERNE BROUSSARD
METAIRIE, LA
NPI
1578880753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
173C00000X Reflexologist
Additional Taxonomies
225700000X Massage Therapist
(Licence: LA 4320)
Enumeration Date
2010-04-27
Last Update Date
2010-04-27
Business Address
Mrs. LAVERNE BROUSSARD
4300 S. I-10 SERVICE RD STE 101B
METAIRIE, LA 70001-7420
Phone number: 504-606-8738
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Mailing Address
Mrs. LAVERNE BROUSSARD
424 HOLMES BLVD
TERRYTOWN, LA 70056-2747
Phone number: 504-606-8738
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