WESLEY PACK

DOTHAN, AL
NPI1467796250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-118092)
Enumeration Date2012-11-16
Last Update Date2012-11-16
Business Address
-- WESLEY PACK CRNA
4370 W MAIN ST
DOTHAN, AL 36305-1056
Phone number: 334-793-5000
Mailing Address
-- WESLEY PACK CRNA
PO BOX 6907
DOTHAN, AL 36302-6907
Phone number: 334-793-5000
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