BLAINE C DORE'

BATESVILLE, AR
NPI1326273830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  CTP000105)
Enumeration Date2009-05-28
Last Update Date2009-05-28
Business Address
-- BLAINE C DORE' CRNA
1710 HARRISON ST
BATESVILLE, AR 72501-7303
Phone number: 870-262-3280
Mailing Address
-- BLAINE C DORE' CRNA
PO BOX 4377
BATESVILLE, AR 72503-4377
Phone number: 870-262-3280