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1508020744
SUSAN D CROCKER
JACKSON, TN
NPI
1508020744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 13613)
Enumeration Date
2008-07-16
Last Update Date
2018-06-18
Business Address
SUSAN D CROCKER CRNA
708 W FOREST AVE
JACKSON, TN 38301
Phone number: 731-541-7070
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Mailing Address
SUSAN D CROCKER CRNA
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-541-7070
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