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1336116664
WALTER A. WITHERSPOON
JACKSON, MI
NPI
1336116664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP9198797)
Enumeration Date
2006-03-06
Last Update Date
2007-07-08
Business Address
-- WALTER A. WITHERSPOON CRNA
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-788-4800
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Mailing Address
-- WALTER A. WITHERSPOON CRNA
716 WRIGHT LN
MARSHALL, MI 49068-9612
Phone number: 772-269-1488
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