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1306836242
RONALD G DEVILLE
SHREVEPORT, LA
NPI
1306836242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN044438)
Enumeration Date
2005-10-23
Last Update Date
2010-07-30
Business Address
Mr. RONALD G DEVILLE CRNA
8001 YOUREE DR
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3000
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Mailing Address
Mr. RONALD G DEVILLE CRNA
10140 THORNWOOD DR
SHREVEPORT, LA 71106-7628
Phone number: 318-798-0191
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