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1780795492
MICHAEL A. BROUILLETTE
DALLAS, TX
NPI
1780795492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- MICHAEL A. BROUILLETTE Physician Assistant
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-1850
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Mailing Address
-- MICHAEL A. BROUILLETTE Physician Assistant
623 WILLIAM DR
OVILLA, TX 75154-3611
Phone number: 972-515-3302
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