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1023135324
WALDRON UPHAM
ANCHORAGE, AK
NPI
1023135324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AK 260)
Enumeration Date
2007-03-23
Last Update Date
2007-12-07
Business Address
-- WALDRON UPHAM CRNA
4100 LAKE OTIS PKWY
ANCHORAGE, AK 99508-5222
Phone number: 907-550-6110
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Mailing Address
-- WALDRON UPHAM CRNA
PO BOX 29211
PHOENIX, AZ 85038-9211
Phone number: 602-273-6770
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