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1013754027
JUSTIN LANE ALEXANDER
CONWAY, AR
NPI
1013754027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR 230353)
Enumeration Date
2024-07-09
Last Update Date
2024-09-18
Business Address
JUSTIN LANE ALEXANDER CRNA
2302 COLLEGE AVE
CONWAY, AR 72034-6297
Phone number: 501-329-3831
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Mailing Address
JUSTIN LANE ALEXANDER CRNA
2850 PRINCE ST STE 43
CONWAY, AR 72034-3600
Phone number: 501-327-6665
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