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1255388179
GEOFFREY A CLONTZ
HICKORY, NC
NPI
1255388179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 058561)
Enumeration Date
2006-05-27
Last Update Date
2007-08-13
Business Address
MR. GEOFFREY A CLONTZ CRNA
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602-9617
Phone number: 828-326-3809
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Mailing Address
MR. GEOFFREY A CLONTZ CRNA
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602-9617
Phone number: 828-326-3809
Copy
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