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1255491742
TIMOTHY J WHITE
NORMAN, OK
NPI
1255491742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK R0088171)
Enumeration Date
2006-12-12
Last Update Date
2007-11-06
Business Address
-- TIMOTHY J WHITE CRNA
901 N PORTER AVE
NORMAN, OK 73071-6404
Phone number: 405-701-3418
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Mailing Address
-- TIMOTHY J WHITE CRNA
PO BOX 721330
NORMAN, OK 73070-8024
Phone number: 405-701-3418
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CAPITAL ANESTHESIA LLC