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1073086310
CASEY JORDAN ELISON
FRESNO, CA
NPI
1073086310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA NA95001060)
Enumeration Date
2019-01-09
Last Update Date
2019-05-20
Business Address
CASEY JORDAN ELISON CRNA
2823 FRESNO ST
FRESNO, CA 93721
Phone number: 559-459-6000
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Mailing Address
CASEY JORDAN ELISON CRNA
PO BOX 7096
STOCKTON, CA 95267-0096
Phone number: 209-956-7725
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