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Individual
JEAN BRUDENT
Active
Individual
JEAN BRUDENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
171240555
FL
253J00000X
Foster Care Agency
171240555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171240555
NURSING ADMINISTRATOR
FL
Enumeration date
05/25/2022
Last updated
05/25/2022
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