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1710506498
BRAKEISHA LASHAY BROUSSARD
LAFAYETTE, LA
NPI
1710506498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 352464)
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
BRAKEISHA LASHAY BROUSSARD LVN
312 LISTON ST
LAFAYETTE, LA 70501-1040
Phone number: 337-565-9737
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Mailing Address
BRAKEISHA LASHAY BROUSSARD LVN
312 LISTON ST
LAFAYETTE, LA 70501-1040
Phone number: 337-565-9737
Copy
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