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1174862783
EMMANUEL SAMEDI
TAHLEQUAH, OK
NPI
1174862783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK R108099)
Enumeration Date
2013-02-04
Last Update Date
2013-02-04
Business Address
-- EMMANUEL SAMEDI CRNA
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3115
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Mailing Address
-- EMMANUEL SAMEDI CRNA
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3115
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