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1003911520
CHARLES DAVID LAINE
TEMPE, AZ
NPI
1003911520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ RN083051)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mr. CHARLES DAVID LAINE CRNA
1500 S MILL AVE
TEMPE, AZ 85281-6699
Phone number: 480-784-5500
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Mailing Address
Mr. CHARLES DAVID LAINE CRNA
862 N PINEVIEW DR
CHANDLER, AZ 85226-1919
Phone number: 480-940-3895
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