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1578890190
JO DEE GOODEAUX BROUSSARD
LAFAYETTE, LA
NPI
1578890190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200320)
Enumeration Date
2009-11-04
Last Update Date
2017-10-06
Business Address
JO DEE GOODEAUX BROUSSARD PA
108 RUE LOUIS XIV
LAFAYETTE, LA 70508-5739
Phone number: 337-235-8007
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Mailing Address
JO DEE GOODEAUX BROUSSARD PA
108 RUE LOUIS XIV
LAFAYETTE, LA 70508-5739
Phone number: 337-235-8007
Copy
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