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1003041906
PAUL G ROUSSEAU OD PA
MELBOURNE, FL
NPI
1003041906
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Entity Type
Organization
Authorized Contact
PAUL G ROUSSEAU
Owner / President
321-636-1972
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC2641)
Enumeration Date
2009-05-20
Last Update Date
2012-05-03
Business Address
PAUL G ROUSSEAU OD PA
5455 MURRELL ROAD SUITE 107
MELBOURNE, FL 32955-1986
Phone number: 321-636-1972
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Mailing Address
PAUL G ROUSSEAU OD PA
5455 MURRELL ROAD SUITE 107
MELBOURNE, FL 32955-1986
Phone number: 321-636-1972
Copy
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