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1629450556
JESSICA BROUSSARD
LAFAYETTE, LA
NPI
1629450556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08156)
Enumeration Date
2015-06-27
Last Update Date
2015-06-27
Business Address
-- JESSICA BROUSSARD FNP-C
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7991
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Mailing Address
-- JESSICA BROUSSARD FNP-C
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number:
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