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1174569602
TERRENCE CHRISTOPHER DIEBOLD
JONESBORO, AR
NPI
1174569602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR 367500000X)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
-- TERRENCE CHRISTOPHER DIEBOLD CRNA
3120 PRESTWICK CIR
JONESBORO, AR 72401-8039
Phone number: 870-972-0281
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Mailing Address
-- TERRENCE CHRISTOPHER DIEBOLD CRNA
3120 PRESTWICK CIR
JONESBORO, AR 72401-8039
Phone number: 870-972-0281
Copy
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