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1497036388
CERISA FORREST
LUBBOCK, TX
NPI
1497036388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 734728)
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
-- CERISA FORREST CRNA
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-1000
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Mailing Address
-- CERISA FORREST CRNA
5010 APPLE CREEK RD
MIDLAND, TX 79707-3229
Phone number: 214-674-2172
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