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1093798886
MARK ANTONIO
SCRANTON, PA
NPI
1093798886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA 39894)
Enumeration Date
2005-11-25
Last Update Date
2015-04-06
Business Address
-- MARK ANTONIO CRNA
746 JEFFERSON AVE
SCRANTON, PA 18510-1624
Phone number: 570-346-7797
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Mailing Address
-- MARK ANTONIO CRNA
3998 FAIR RIDGE DR SUITE 300
FAIRFAX, VA 22033-2921
Phone number: 703-295-9360
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