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1497732903
KELLY SHAUN SIMPSON
TACOMA, WA
NPI
1497732903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH RN309540)
Enumeration Date
2005-12-27
Last Update Date
2019-05-16
Business Address
Mr. KELLY SHAUN SIMPSON CRNA
MADIGAN ARMY MEDICAL CENTER ATTN: CREDENTIALS OFFICE 9040 JACKSON AVE
TACOMA, WA 98431
Phone number: 253-969-2252
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Mailing Address
Mr. KELLY SHAUN SIMPSON CRNA
1642 PARKSIDE CIR
NICEVILLE, FL 32578-8706
Phone number: 850-830-5525
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