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1205899275
SHAWN A. LEVERIDGE
FORT WORTH, TX
NPI
1205899275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 589347)
Enumeration Date
2006-04-10
Last Update Date
2009-09-25
Business Address
-- SHAWN A. LEVERIDGE CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 888-804-3000
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Mailing Address
-- SHAWN A. LEVERIDGE CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 888-804-3000
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