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1306999198
MARVIN L BROMBAUGH
URBANA, IL
NPI
1306999198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209000576)
Enumeration Date
2007-01-18
Last Update Date
2012-06-05
Business Address
MARVIN L BROMBAUGH CRNA
602 W. UNIVERSITY AVENUE ANESTHESIOLOGY
URBANA, IL 61801
Phone number: 217-383-3141
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Mailing Address
MARVIN L BROMBAUGH CRNA
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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