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1215920905
WALTER WELLER HEAD
LEXINGTON, KY
NPI
1215920905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 932A)
Enumeration Date
2005-08-26
Last Update Date
2007-07-08
Business Address
-- WALTER WELLER HEAD CRNA
1 SAINT JOSEPH DR
LEXINGTON, KY 40504-3742
Phone number: 859-313-1000
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Mailing Address
-- WALTER WELLER HEAD CRNA
3320 TATES CREEK RD SUITE 204
LEXINGTON, KY 40502-3400
Phone number: 859-268-1030
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