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1265738843
JEANIE KIM LADD
ALEXANDRIA, VA
NPI
1265738843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024169448)
Enumeration Date
2011-01-31
Last Update Date
2011-09-21
Business Address
-- JEANIE KIM LADD CRNA
4320 SEMINARY RD
ALEXANDRIA, VA 22304-1535
Phone number: 703-504-3789
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Mailing Address
-- JEANIE KIM LADD CRNA
PO BOX 37090
BALTIMORE, MD 21297-3090
Phone number: 703-295-9360
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