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1912254475
PAUL DUSTIN BROADBENT
AMARILLO, TX
NPI
1912254475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 817054)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
-- PAUL DUSTIN BROADBENT CRNA
2201 CIVIC CIR SUITE 503
AMARILLO, TX 79109-1817
Phone number: 800-480-1819
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Mailing Address
-- PAUL DUSTIN BROADBENT CRNA
1248 CARPAZI CT APT 4
NAPLES, FL 34105-4968
Phone number: 801-830-8299
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