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1407289283
MICAH ROGER WELBORN
LAUREL, MS
NPI
1407289283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS 871238)
Enumeration Date
2013-08-15
Last Update Date
2018-05-02
Business Address
MICAH ROGER WELBORN C.R.N.A
1220 JEFFERSON ST
LAUREL, MS 39440-4355
Phone number: 601-426-4000
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Mailing Address
MICAH ROGER WELBORN C.R.N.A
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-399-6167
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