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1225450711
KEAL RASAVAGE
LUBBOCK, TX
NPI
1225450711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 770256)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- KEAL RASAVAGE CRNA
3601 4TH ST 8182
LUBBOCK, TX 79430-8182
Phone number: 806-743-2981
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Mailing Address
-- KEAL RASAVAGE CRNA
305 WILDCAT ST
WOLFFORTH, TX 79382-5326
Phone number: 432-413-4601
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