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1205821535
MARK J HIGGS
BECKLEY, WV
NPI
1205821535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 22561)
Enumeration Date
2005-09-13
Last Update Date
2007-07-08
Business Address
-- MARK J HIGGS CRNA
1710 HARPER RD
BECKLEY, WV 25801-3357
Phone number: 800-277-8151
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Mailing Address
-- MARK J HIGGS CRNA
L 2771
COLUMBUS, OH 43260-0001
Phone number: 800-277-8151
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