GRANT DAVID KEPHART

STOCKTON, CA
NPI1043773070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  NA95001045)
Enumeration Date2019-04-08
Last Update Date2019-04-08
Business Address
GRANT DAVID KEPHART CRNA
ST. JOSEPH'S MEDICAL CENTER 1800 N. CALIFORNIA ST.
STOCKTON, CA 95204
Phone number: 209-943-2000
Mailing Address
GRANT DAVID KEPHART CRNA
1148 8TH AVE
SACRAMENTO, CA 95818-4003
Phone number: 530-864-8882
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