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1043232010
EDMUND CARMACK
JONESBORO, AR
NPI
1043232010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR C00864)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
EDMUND CARMACK CRNA
225 E JACKSON AVE
JONESBORO, AR 72401-3119
Phone number: 870-932-4211
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Mailing Address
EDMUND CARMACK CRNA
PO BOX 8099
JONESBORO, AR 72403-8099
Phone number: 870-932-4211
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