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1962278234
KATELYN BROUSSARD
PHILADELPHIA, PA
NPI
1962278234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA 26NR227227100)
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
KATELYN BROUSSARD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 800-789-7366
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Mailing Address
KATELYN BROUSSARD
615 MILLER ST
PHILADELPHIA, PA 19125-2721
Phone number: 443-610-8755
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