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1467796250
WESLEY PACK
DOTHAN, AL
NPI
1467796250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-118092)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
-- WESLEY PACK CRNA
4370 W MAIN ST
DOTHAN, AL 36305-1056
Phone number: 334-793-5000
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Mailing Address
-- WESLEY PACK CRNA
PO BOX 6907
DOTHAN, AL 36302-6907
Phone number: 334-793-5000
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