ROOSEVELT G BRASSEUR

SANTA FE, NM
NPI1427152743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NM  81-18)
Enumeration Date2006-09-08
Last Update Date2007-07-08
Business Address
-- ROOSEVELT G BRASSEUR M.D
4038 PAINTED PONY CIR
SANTA FE, NM 87507-8447
Phone number: 505-438-6191
Mailing Address
-- ROOSEVELT G BRASSEUR M.D
4038 PAINTED PONY CIR
SANTA FE, NM 87507-8447
Phone number: 505-438-6191
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