MATTHEW MIDDLETON FANNING

APO, AP
NPI1295155141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy286500000X Military Hospital
(Licence: GA  RN226805)
Enumeration Date2014-04-18
Last Update Date2014-04-18
Business Address
-- MATTHEW MIDDLETON FANNING CRNA
B CO, 121ST CSH BOX #344, UNIT #15244
APO, AP 96205
Phone number: 315-737-1352
Mailing Address
-- MATTHEW MIDDLETON FANNING CRNA
216 AIKEN HUNT CIR
COLUMBIA, SC 29223-8405
Phone number:
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