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1801613401
TYLER JACOB BRAUNECK
LAFAYETTE, LA
NPI
1801613401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 1176153)
Enumeration Date
2024-09-24
Last Update Date
2024-11-15
Business Address
TYLER JACOB BRAUNECK
4906 AMBASSADOR CAFFERY PKWY BLDG I
LAFAYETTE, LA 70508-7013
Phone number: 903-643-7491
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Mailing Address
TYLER JACOB BRAUNECK
16514 LOMA LANDING
HELOTES, TX 78023
Phone number: 325-933-8868
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