SAMUEL L COUILLARD

LENOIR CITY, TN
NPI1679560429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN43073)
Enumeration Date2005-10-05
Last Update Date2007-07-08
Business Address
-- SAMUEL L COUILLARD CRNA
550 FORT LOUDOUN MEDICAL CENTER DR
LENOIR CITY, TN 37772-5673
Phone number: 952-442-9770
Mailing Address
-- SAMUEL L COUILLARD CRNA
233 W 1ST ST
WACONIA, MN 55387-1302
Phone number: 952-442-9770
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