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1184609125
RENALD ROUILLARD
PORTSMOUTH, NH
NPI
1184609125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: 1005728)
Enumeration Date
2005-12-13
Last Update Date
2007-11-07
Business Address
Mr. RENALD ROUILLARD BS
1 AYERS CIR BLDG H-1
PORTSMOUTH, NH 03801-3892
Phone number: 207-438-1130
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Mailing Address
Mr. RENALD ROUILLARD BS
43 SMITH RD ATTN: PROFESSIONAL AFFAIRS
NEWPORT, RI 02841-1002
Phone number: 401-841-4522
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