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1689618787
ROMAN SHAWN BAGWELL
TYLER, TX
NPI
1689618787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 727514)
Enumeration Date
2006-06-16
Last Update Date
2014-12-08
Business Address
-- ROMAN SHAWN BAGWELL CRNA
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-531-4500
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Mailing Address
-- ROMAN SHAWN BAGWELL CRNA
PO BOX 841656
DALLAS, TX 75284-1656
Phone number: 903-531-5000
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