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1902102510
ALEXIS BROUSSARD DAILEY
METAIRIE, LA
NPI
1902102510
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Former Name
ALEXIS R. BROUSSARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 115453)
Enumeration Date
2011-01-28
Last Update Date
2011-01-28
Business Address
-- ALEXIS BROUSSARD DAILEY CRNA
3510 N CAUSEWAY BLVD SUITE 404
METAIRIE, LA 70002-3531
Phone number: 504-779-5515
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Mailing Address
-- ALEXIS BROUSSARD DAILEY CRNA
255 W MICHIGAN AVE P. O. BOX 1123
JACKSON, MI 49201-2218
Phone number: 800-242-1131
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