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1548214208
DUANE D GANTT
JOHNSON CITY, NY
NPI
1548214208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704146723)
Enumeration Date
2006-05-19
Last Update Date
2007-07-09
Business Address
-- DUANE D GANTT crna
156 CORLISS AVE SUITE 107
JOHNSON CITY, NY 13790-2060
Phone number: 607-763-6735
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Mailing Address
-- DUANE D GANTT crna
156 CORLISS AVE SUITE 107
JOHNSON CITY, NY 13790-2060
Phone number: 607-763-6735
Copy
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