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1962645630
LAYNE ANDREW ROUSSEAU
PHOENIX, AZ
NPI
1962645630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: AZ 009098)
Enumeration Date
2009-04-10
Last Update Date
2021-08-05
Business Address
LAYNE ANDREW ROUSSEAU D.O.
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
LAYNE ANDREW ROUSSEAU D.O.
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5000
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