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1316947310
KEVIN JAMES COOLONG
NORFOLK, VA
NPI
1316947310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024164868)
Enumeration Date
2005-08-01
Last Update Date
2012-10-29
Business Address
Mr. KEVIN JAMES COOLONG CRNA
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone number: 757-473-0055
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Mailing Address
Mr. KEVIN JAMES COOLONG CRNA
644 CORBY GLEN AVE
CHESAPEAKE, VA 23322-1005
Phone number: 757-390-6294
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