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1639940125
JARRED DEWAYNE SEPULVADO
BOSSIER CITY, LA
NPI
1639940125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 200185)
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
Dr. JARRED DEWAYNE SEPULVADO DNP, CRNA
605 TUNICA TRL
BOSSIER CITY, LA 71111-5192
Phone number: 318-780-0329
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Mailing Address
Dr. JARRED DEWAYNE SEPULVADO DNP, CRNA
605 TUNICA TRL
BOSSIER CITY, LA 71111-5192
Phone number: 318-780-0329
Copy
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