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1720389141
COURTNEY J BROUSSARD
METAIRIE, LA
NPI
1720389141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN108581)
Enumeration Date
2010-11-17
Last Update Date
2020-09-30
Business Address
COURTNEY J BROUSSARD CRNA
4200 HOUMA BLVD
METAIRIE, LA 70006-2970
Phone number: 504-779-5515
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Mailing Address
COURTNEY J BROUSSARD CRNA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 800-242-1131
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