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1619970308
TRACY P BROUSSARD
LAFAYETTE, LA
NPI
1619970308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA RN087132 AP04548)
Enumeration Date
2005-05-27
Last Update Date
2007-07-08
Business Address
-- TRACY P BROUSSARD F.N.P.
155 HOSPITAL DR STE 100
LAFAYETTE, LA 70503-2852
Phone number: 337-354-0030
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Mailing Address
-- TRACY P BROUSSARD F.N.P.
PO BOX 52028
LAFAYETTE, LA 70505-2028
Phone number: 337-354-0030
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