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1952457939
RUBEN JESUS PERDOMO
PENSACOLA, FL
NPI
1952457939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 2896962)
Enumeration Date
2007-01-25
Last Update Date
2011-12-14
Business Address
-- RUBEN JESUS PERDOMO CRNA
4901 GRANDE DR
PENSACOLA, FL 32504-5935
Phone number: 850-477-7042
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Mailing Address
-- RUBEN JESUS PERDOMO CRNA
4901 GRANDE DR
PENSACOLA, FL 32504-5935
Phone number: 850-477-7042
Copy
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