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Individual

MS. JOANNE LYNN BROUSSEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
221 6TH AVE S APT E, JACKSONVILLE, FL 32250-6664
(904) 449-0867
Mailing address
221 6TH AVE S APT E, JACKSONVILLE BEACH, FL 32250-6664
(904) 449-0867

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
OT0002801
FL

Other

Enumeration date
07/25/2007
Last updated
07/09/2013
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