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1427699230
KEITH CARLSON
VISALIA, CA
NPI
1427699230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 95001188)
Enumeration Date
2019-10-02
Last Update Date
2019-10-10
Business Address
KEITH CARLSON
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 775-722-7245
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Mailing Address
KEITH CARLSON
PO BOX 6339
VISALIA, CA 93290-6339
Phone number:
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