DAVID DEROSSO

STATESBORO, GA
NPI1194897710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN135847)
Enumeration Date2006-11-15
Last Update Date2013-12-19
Business Address
-- DAVID DEROSSO CRNA
1499 FAIR RD
STATESBORO, GA 30458-1683
Phone number: 704-662-5544
Mailing Address
-- DAVID DEROSSO CRNA
598 3RD ST
MACON, GA 31201-3357
Phone number: 478-633-6706
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