CASEY RYAN CLARK

ATHENS, AL
NPI1174534085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-104686)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Mr. CASEY RYAN CLARK CRNA
22234 KENNEMER LN
ATHENS, AL 35613-8162
Phone number: 256-206-2081
Mailing Address
Mr. CASEY RYAN CLARK CRNA
22234 KENNEMER LN
ATHENS, AL 35613-8162
Phone number: 256-206-2081
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