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1134282189
CHAD ALLEN STUCKEY
DAYTON, OH
NPI
1134282189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH RN272474)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Mr. CHAD ALLEN STUCKEY CRNA
2222 PHILADELPHIA DRIVE
DAYTON, OH 45264-0446
Phone number: 937-278-2612
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Mailing Address
Mr. CHAD ALLEN STUCKEY CRNA
PO BOX 64066
CINCINNATI, OH 45264-0446
Phone number: 937-293-0247
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