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1366964710
DAMON RANDOLPH WELLS
FORT LAUDERDALE, FL
NPI
1366964710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 9373461)
Enumeration Date
2017-07-07
Last Update Date
2017-07-07
Business Address
Mr. DAMON RANDOLPH WELLS CRNA
6401 N FEDERAL HWY
FORT LAUDERDALE, FL 33308-1427
Phone number: 954-566-7590
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Mailing Address
Mr. DAMON RANDOLPH WELLS CRNA
8601 SW 68TH CT APT 5
MIAMI, FL 33143-7832
Phone number: 504-621-5446
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