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1164467718
RONALD C DEATLEY
CHARLOTTE, NC
NPI
1164467718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 070239)
Enumeration Date
2006-06-18
Last Update Date
2020-10-28
Business Address
RONALD C DEATLEY CRNA
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-384-4274
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Mailing Address
RONALD C DEATLEY CRNA
PO BOX 601549
CHARLOTTE, NC 28260-1549
Phone number: 704-384-4239
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