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1255170791
JUSTIN HUMPHREYS
DUARTE, CA
NPI
1255170791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 95002370)
Enumeration Date
2024-05-23
Last Update Date
2024-05-23
Business Address
JUSTIN HUMPHREYS CRNA
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 800-826-4673
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Mailing Address
JUSTIN HUMPHREYS CRNA
1153 MELROSE AVE APT 3
GLENDALE, CA 91202-2434
Phone number: 801-200-4117
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