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1336100270
JANITH S DEHAVEN
DOTHAN, AL
NPI
1336100270
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Former Name
JANITH S PRATT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1026900)
Enumeration Date
2006-03-30
Last Update Date
2007-07-08
Business Address
-- JANITH S DEHAVEN CRNA
4370 W MAIN STREET
DOTHAN, AL 36305
Phone number: 334-793-5000
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Mailing Address
-- JANITH S DEHAVEN CRNA
PO BOX 6907
DOTHAN, AL 36302
Phone number: 334-793-5000
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