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1023013802
GLENN A HARDESTY
WINTER HAVEN, FL
NPI
1023013802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP9241242)
Enumeration Date
2005-06-17
Last Update Date
2014-06-06
Business Address
Mr. GLENN A HARDESTY CRNA
383 ALPINE DR
WINTER HAVEN, FL 33881-9557
Phone number: 863-221-3718
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Mailing Address
Mr. GLENN A HARDESTY CRNA
383 ALPINE DR
WINTER HAVEN, FL 33881-9557
Phone number: 863-221-1813
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