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1205252327
CARESSA RAE SOUTHERS
PRINCETON, WV
NPI
1205252327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 077833)
Enumeration Date
2014-03-13
Last Update Date
2015-01-05
Business Address
MRS. CARESSA RAE SOUTHERS CRNA
109 MORRISON DR
PRINCETON, WV 24740-2322
Phone number: 304-487-3559
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Mailing Address
MRS. CARESSA RAE SOUTHERS CRNA
PO BOX 1143
PRINCETON, WV 24740-1143
Phone number: 304-487-3559
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