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1821613282
BRIAN BOUGARD
MEMPHIS, TN
NPI
1821613282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 28059)
Enumeration Date
2020-06-11
Last Update Date
2020-09-03
Business Address
BRIAN BOUGARD
1068 CRESTHAVEN RD STE 150
MEMPHIS, TN 38119-3859
Phone number: 901-682-6828
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Mailing Address
BRIAN BOUGARD
1068 CRESTHAVEN RD STE 150
MEMPHIS, TN 38119-3859
Phone number: 901-682-6828
Copy
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