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1700902665
VICKIE SUE BRODERICK
GALVESTON, TX
NPI
1700902665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA00728)
Enumeration Date
2007-03-22
Last Update Date
2009-05-18
Business Address
-- VICKIE SUE BRODERICK PA
301 UNIVERSITY BLVD
GALVESTON, TX 77555-5302
Phone number: 409-772-2222
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Mailing Address
-- VICKIE SUE BRODERICK PA
301 UNIVERSITY BLVD
GALVESTON, TX 77555-5302
Phone number: 409-772-2222
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