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1598872558
CHARLES HENRY BROUSSARD
MORGAN CITY, LA
NPI
1598872558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4862)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Dr. CHARLES HENRY BROUSSARD D.D.S.
1255 BELLEVIEW ST
MORGAN CITY, LA 70380-5351
Phone number: 985-395-4100
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Mailing Address
Dr. CHARLES HENRY BROUSSARD D.D.S.
1255 BELLEVIEW ST
MORGAN CITY, LA 70380-5351
Phone number: 985-395-4100
Copy
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