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1215990957
CHARLES CLINTON CADDY
NORTH LITTLE ROCK, AR
NPI
1215990957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR C00159)
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
-- CHARLES CLINTON CADDY CRNA
3333 SPRINGHILL DR
NORTH LITTLE ROCK, AR 72117-2922
Phone number: 501-202-3000
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Mailing Address
-- CHARLES CLINTON CADDY CRNA
PO BOX 190670
LITTLE ROCK, AR 72219-0670
Phone number: 501-771-4693
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