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1326020421
ALLEN J THIBODEAUX
CORPUS CHRISTI, TX
NPI
1326020421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 699595)
Enumeration Date
2005-11-16
Last Update Date
2011-08-01
Business Address
Mr. ALLEN J THIBODEAUX CRNA
2606 HOSPITAL BLVD
CORPUS CHRISTI, TX 78405-1804
Phone number: 361-455-5358
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Mailing Address
Mr. ALLEN J THIBODEAUX CRNA
7502 BRIECESCO
CORPUS CHRISTI, TX 78414-6164
Phone number: 361-455-5358
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