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1801610803
PRESTON BROUSSARD
LAFAYETTE, LA
NPI
1801610803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
PRESTON BROUSSARD
207 PERSIMMON PL
LAFAYETTE, LA 70507-3709
Phone number: 337-356-7626
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Mailing Address
PRESTON BROUSSARD
207 PERSIMMON PL
LAFAYETTE, LA 70507-3709
Phone number: 337-356-7626
Copy
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