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1336325653
FERNANDO A BALMACEDA
MADISON, TN
NPI
1336325653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 78144)
Enumeration Date
2008-01-16
Last Update Date
2009-05-01
Business Address
Mr. FERNANDO A BALMACEDA CRNA
154 CUDE LN
MADISON, TN 37115-2202
Phone number: 615-865-6268
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Mailing Address
Mr. FERNANDO A BALMACEDA CRNA
154 CUDE LN
MADISON, TN 37115-2202
Phone number: 615-865-6268
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