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1013076801
KEN WADE
LITTLE ROCK, AR
NPI
1013076801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AR C00324)
Enumeration Date
2006-12-07
Last Update Date
2008-05-16
Business Address
-- KEN WADE CRNA
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR 72205-7202
Phone number: 501-202-2093
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Mailing Address
-- KEN WADE CRNA
11001 EXECUTIVE CENTER DR SUITE 200
LITTLE ROCK, AR 72211-4316
Phone number:
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