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1184793812
KONETTE KENDALL WALL
GREENSBORO, NC
NPI
1184793812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 23602)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- KONETTE KENDALL WALL CRNA
501 N ELAM AVE
GREENSBORO, NC 27403-1118
Phone number: 336-832-1000
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Mailing Address
-- KONETTE KENDALL WALL CRNA
PO BOX 26580
GREENSBORO, NC 27415-6580
Phone number: 336-832-7786
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