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1104696574
CALVIN LUKE IVIE
ALEXANDRIA, LA
NPI
1104696574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 234279)
Enumeration Date
2024-01-05
Last Update Date
2024-02-06
Business Address
CALVIN LUKE IVIE CRNA
211 4TH ST
ALEXANDRIA, LA 71301-8421
Phone number: 318-442-5399
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Mailing Address
CALVIN LUKE IVIE CRNA
PO BOX 5887
ALEXANDRIA, LA 71307-5887
Phone number: 318-442-5399
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