MARY M BROUSSARD
Nursing at Eaton Ave, Port Charlotte, FL

License number
Florida 126005
Issued Date
Apr 19, 2006
Effective Date
Jun 1, 2016
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
21301 Eaton Ave, Port Charlotte, FL 33952
Phone
(941) 623-8438
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Mary Broussard, age 59
4140 Overlook Cir, Pace, FL 32571
(850) 994-9948
Mary Broussard, age 81
4103 Fawn Cir, Tampa, FL 33610
(813) 664-0485
Mary Broussard, age 76
950 Mockingbird Ln APT 609, Plantation, FL 33324
Mary Broussard
Tampa, FL
(813) 664-0485
Mary Broussard
Tallahassee, FL
(850) 385-1966

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