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1043222425
MARY A KINBAUM
DANVILLE, IN
NPI
1043222425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28080493)
Enumeration Date
2006-08-13
Last Update Date
2009-12-04
Business Address
-- MARY A KINBAUM CRNA
1000 E MAIN ST
DANVILLE, IN 46122-1948
Phone number: 317-567-2179
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Mailing Address
-- MARY A KINBAUM CRNA
PO BOX 3033
INDIANAPOLIS, IN 46206-3033
Phone number: 317-567-2180
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