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Gionna Broussard
NPI 1528431392 · on the registry since 2015
Practice
- Address
- 12042 Se Sunnyside Rd # 315
Clackamas, OR 97015 - Phone
- (510) 479-5436
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2015-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon