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1447456132
BENJAMIN SHANE NUTI
MOUNT SHASTA, CA
NPI
1447456132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 3558)
Enumeration Date
2007-06-21
Last Update Date
2018-02-22
Business Address
Mr. BENJAMIN SHANE NUTI CRNA
914 PINE STREET
MOUNT SHASTA, CA 96067
Phone number: 530-926-6111
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Mailing Address
Mr. BENJAMIN SHANE NUTI CRNA
914 PINE STREET
MOUNT SHASTA, CA 96067
Phone number: 530-926-6111
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