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1669841938
BROOKE RICHARD
JEFFERSON, LA
NPI
1669841938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200843)
Enumeration Date
2015-09-17
Last Update Date
2018-06-27
Business Address
BROOKE RICHARD PA-C
1514 JEFFERSON HWY
JEFFERSON, LA 70121
Phone number: 866-624-7637
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Mailing Address
BROOKE RICHARD PA-C
PO BOX 5478
THIBODAUX, LA 70302-5478
Phone number: 985-447-2645
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