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1528567583
ROGER RENE TRUDEL
PORT ST LUCIE, FL
NPI
1528567583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9318225)
Enumeration Date
2018-02-06
Last Update Date
2023-03-07
Business Address
ROGER RENE TRUDEL
3686 SW CARMODY STREET
PORT ST LUCIE, FL 34953
Phone number: 239-438-0602
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Mailing Address
ROGER RENE TRUDEL
3686 SW CARMODY STREET
PORT ST LUCIE, FL 34953
Phone number: 239-438-0602
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