COLLIS HARLAN LANG

TRAVIS AFB, CA
NPI1235117268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  RN00128774)
Enumeration Date2006-01-09
Last Update Date2021-12-30
Business Address
Mr. COLLIS HARLAN LANG CRNA
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3589
Mailing Address
Mr. COLLIS HARLAN LANG CRNA
1225 BRECKINRIDGE DR
FAIRFIELD, CA 94533-8135
Phone number: 707-422-6688
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