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1457515090
JOSHUA WAYNE VICKNAIR
METAIRIE, LA
NPI
1457515090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN108454)
Enumeration Date
2008-07-14
Last Update Date
2016-08-23
Business Address
-- JOSHUA WAYNE VICKNAIR CRNA
3510 N CAUSEWAY BLVD SUITE 404
METAIRIE, LA 70002-3531
Phone number: 504-779-5515
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Mailing Address
-- JOSHUA WAYNE VICKNAIR CRNA
255 W MICHIGAN AVE PO BOX 1123
JACKSON, MI 49201-2218
Phone number: 800-242-1131
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