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1538276456
JERRY SERVILLE
LONGVIEW, TX
NPI
1538276456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 033115)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Mr. JERRY SERVILLE CRNA
140 E TYLER ST SUITE 100
LONGVIEW, TX 75601-7214
Phone number: 903-236-2736
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Mailing Address
Mr. JERRY SERVILLE CRNA
140 E TYLER ST SUITE 100
LONGVIEW, TX 75601-7214
Phone number: 903-236-2736
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