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1093051989
CARL C BLACKWOOD
LINCOLN, NE
NPI
1093051989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 12.005251)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
CARL C BLACKWOOD CRNA
5701 LILLIBRIDGE ST APT 10
LINCOLN, NE 68506-3543
Phone number: 607-349-9774
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Mailing Address
CARL C BLACKWOOD CRNA
5701 LILLIBRIDGE ST APT 10
LINCOLN, NE 68506-3543
Phone number: 607-349-9774
Copy
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