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1255602082
MICHAEL RICHARD STANLEY
DOTHAN, AL
NPI
1255602082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1091959)
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
-- MICHAEL RICHARD STANLEY CRNA
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8087
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Mailing Address
-- MICHAEL RICHARD STANLEY CRNA
PO BOX 1928
DOTHAN, AL 36302-1928
Phone number: 334-793-8087
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