DIAN GANTT

KINGSPORT, TN
NPI1164471728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN54210)
Enumeration Date2006-05-09
Last Update Date2008-01-15
Business Address
-- DIAN GANTT CRNA
2000 BROOKSIDE DR
KINGSPORT, TN 37660-4627
Phone number: 423-857-7000
Mailing Address
-- DIAN GANTT CRNA
1953 HIGHWAY 11 W
BRISTOL, TN 37620-8543
Phone number:
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