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1205018181
MICHAEL KENT VICKERS
METAIRIE, LA
NPI
1205018181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN106549)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
-- MICHAEL KENT VICKERS CRNA
3510 N CAUSEWAY BLVD SUITE 404
METAIRIE, LA 70002-3531
Phone number: 504-779-5515
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Mailing Address
-- MICHAEL KENT VICKERS CRNA
9853 JEFFERSON HWY UNIT #F-6
BATON ROUGE, LA 70809-2794
Phone number:
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