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1942318183
ROGER J BRICAULT
TAVARES, FL
NPI
1942318183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP556152)
Enumeration Date
2006-08-28
Last Update Date
2011-02-21
Business Address
-- ROGER J BRICAULT CRNA
1000 WATERMAN WAY
TAVARES, FL 32778-5266
Phone number: 352-253-3333
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Mailing Address
-- ROGER J BRICAULT CRNA
PO BOX 3130
OCALA, FL 34478-3130
Phone number: 352-867-8311
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