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1104247436
KENNETH LANE FOLSOM
PORTSMOUTH, VA
NPI
1104247436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0001201103)
Enumeration Date
2014-01-06
Last Update Date
2014-01-06
Business Address
-- KENNETH LANE FOLSOM CRNA
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3300
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Mailing Address
-- KENNETH LANE FOLSOM CRNA
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3300
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