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1033239157
RANDY KEILICH INGMIRE
DALLAS, TX
NPI
1033239157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 646815)
Enumeration Date
2007-03-30
Last Update Date
2009-09-03
Business Address
-- RANDY KEILICH INGMIRE CRNA
10455 N CENTRAL EXPY SUITE 109-347
DALLAS, TX 75231-2213
Phone number: 956-754-9687
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Mailing Address
-- RANDY KEILICH INGMIRE CRNA
10455 N CENTRAL EXPY STE. 109-347
DALLAS, TX 75231-2213
Phone number: 956-754-9687
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