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1114967148
RON I MCDANIEL
DECATUR, GA
NPI
1114967148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA 118126)
Enumeration Date
2006-06-07
Last Update Date
2013-02-20
Business Address
-- RON I MCDANIEL CRNA
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 678-514-1991
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Mailing Address
-- RON I MCDANIEL CRNA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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