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1861588667
CARLOS A BROUSSARD
NEW IBERIA, LA
NPI
1861588667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 04660)
Enumeration Date
2006-10-05
Last Update Date
2008-03-28
Business Address
Mr. CARLOS A BROUSSARD CRNA
600 N LEWIS ST
NEW IBERIA, LA 70560
Phone number: 337-365-3168
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Mailing Address
Mr. CARLOS A BROUSSARD CRNA
PO BOX 52533
LAFAYETTE, LA 70505
Phone number: 337-365-3168
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