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1366858169
GENESIS SONG BANGHA
LEXINGTON, KY
NPI
1366858169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 102393)
Enumeration Date
2014-07-01
Last Update Date
2015-01-09
Business Address
-- GENESIS SONG BANGHA CRNA
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503-1431
Phone number: 859-260-6100
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Mailing Address
-- GENESIS SONG BANGHA CRNA
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503-1431
Phone number:
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