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Individual
THERESA LEBLEU BROUSSARD
Active
Individual
THERESA LEBLEU BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
814578
TX
367500000X
Certified Registered Nurse Anesthetist
075438
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121714
TX
Other
Enumeration date
08/11/2006
Last updated
11/27/2024
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