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1073532743
TERRI CROCKETT
CONCORD, NC
NPI
1073532743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 164242)
Enumeration Date
2006-07-19
Last Update Date
2020-12-28
Business Address
TERRI CROCKETT CRNA
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-783-4235
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Mailing Address
TERRI CROCKETT CRNA
14625 OLD VERMILLION DR
HUNTERSVILLE, NC 28078-5324
Phone number: 704-604-2376
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