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1295705358
SANDRA WEAVER
JACKSON, TN
NPI
1295705358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 50394)
Enumeration Date
2006-01-23
Last Update Date
2012-02-14
Business Address
-- SANDRA WEAVER CRNA
810 W FOREST AVE
JACKSON, TN 38301-3942
Phone number: 731-668-1853
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Mailing Address
-- SANDRA WEAVER CRNA
810 W FOREST AVE
JACKSON, TN 38301-3942
Phone number: 731-668-1853
Copy
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