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1275021891
KEVIN DOUGLAS BOHANNON
MEMPHIS, TN
NPI
1275021891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 24548)
Enumeration Date
2018-04-30
Last Update Date
2018-08-01
Business Address
KEVIN DOUGLAS BOHANNON CRNA
1068 CRESTHAVEN RD STE 150
MEMPHIS, TN 38119-3859
Phone number: 901-682-6828
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Mailing Address
KEVIN DOUGLAS BOHANNON CRNA
1068 CRESTHAVEN RD STE 150
MEMPHIS, TN 38119-3859
Phone number: 901-682-6828
Copy
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