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1205917010
JARED GEORGE FOX
LAKE CHARLES, LA
NPI
1205917010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP04937)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
MR. JARED GEORGE FOX CRNA
4150 NELSON ROAD BUILDING A SUITE 4
LAKE CHARLES, LA 70605-4196
Phone number: 337-474-6353
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Mailing Address
MR. JARED GEORGE FOX CRNA
4150 NELSON ROAD BUILDING A SUITE 4
LAKE CHARLES, LA 70605-4196
Phone number: 337-474-6353
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