CARL C BLACKWOOD

LINCOLN, NE
NPI1093051989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  12.005251)
Enumeration Date2012-12-20
Last Update Date2012-12-20
Business Address
-- CARL C BLACKWOOD CRNA
5701 LILLIBRIDGE ST APT 10
LINCOLN, NE 68506-3543
Phone number: 607-349-9774
Mailing Address
-- CARL C BLACKWOOD CRNA
5701 LILLIBRIDGE ST APT 10
LINCOLN, NE 68506-3543
Phone number: 607-349-9774
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