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1588854079
THELMA DIANE BROADHURST
OAK GROVE, LA
NPI
1588854079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 4265)
Enumeration Date
2007-07-31
Last Update Date
2007-07-31
Business Address
Ms. THELMA DIANE BROADHURST MA, CCC-SLP
604 MARIETTA ST.
OAK GROVE, LA 71263-0086
Phone number: 318-428-3659
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Mailing Address
Ms. THELMA DIANE BROADHURST MA, CCC-SLP
604 MARIETTA ST. P. O. BOX 86
OAK GROVE, LA 71263-0086
Phone number: 318-428-3659
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