BRIAN GREGORY CORNELIUS

SHREVEPORT, LA
NPI1417297243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  APO7222)
Enumeration Date2013-02-14
Last Update Date2013-02-18
Business Address
-- BRIAN GREGORY CORNELIUS CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5584
Mailing Address
-- BRIAN GREGORY CORNELIUS CRNA
9096 COTTAGE RIDGE DR
SHREVEPORT, LA 71106
Phone number: 281-773-7169
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