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Individual
TAMAR MICHELLE BROUSSARD
Active
Individual
TAMAR MICHELLE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, MPH
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00492300
NJ
363A00000X
Physician Assistant
PA23022
CA
363AM0700X
Medical Physician Assistant
MA060105
PA
Other
Enumeration date
07/17/2013
Last updated
10/07/2023
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