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1215160098
GARY SHAWN PURYEAR
FLORENCE, AL
NPI
1215160098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-099896)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
Mr. GARY SHAWN PURYEAR CRNA
205 MARENGO ST
FLORENCE, AL 35630-6033
Phone number: 256-768-9191
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Mailing Address
Mr. GARY SHAWN PURYEAR CRNA
PO BOX 10005
FLORENCE, AL 35631-2005
Phone number: 256-768-9191
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