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1255578977
TRIPP A DEROUEN
BEAUMONT, TX
NPI
1255578977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 763620)
Enumeration Date
2009-01-16
Last Update Date
2009-01-16
Business Address
-- TRIPP A DEROUEN CRNA
755 N 11TH ST SUITE P3600
BEAUMONT, TX 77702-1500
Phone number: 409-838-5214
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Mailing Address
-- TRIPP A DEROUEN CRNA
755 N 11TH ST SUITE P3600
BEAUMONT, TX 77702-1500
Phone number: 409-838-5214
Copy
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