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1487631578
DEREK SEAN CONNER
LAKE CHARLES, LA
NPI
1487631578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN085519)
Enumeration Date
2005-12-29
Last Update Date
2022-06-13
Business Address
DEREK SEAN CONNER CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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Mailing Address
DEREK SEAN CONNER CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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