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1174618821
SHANE HARRIS
BATON ROUGE, LA
NPI
1174618821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 050853)
Enumeration Date
2006-10-04
Last Update Date
2016-05-06
Business Address
-- SHANE HARRIS CRNA
8212 KELWOOD AVE
BATON ROUGE, LA 70806-4801
Phone number: 225-929-7600
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Mailing Address
-- SHANE HARRIS CRNA
2644 S. SHERWOOD FOREST BLVD. SUITE 121
BATON ROUGE, LA 70816-4312
Phone number: 225-293-3587
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