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1568416949
MEVLUDIN BASIC
MEMPHIS, TN
NPI
1568416949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 131479)
Enumeration Date
2006-05-20
Last Update Date
2016-12-21
Business Address
-- MEVLUDIN BASIC CRNA
1265 UNION AVE
MEMPHIS, TN 38104-3415
Phone number: 901-725-5846
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Mailing Address
-- MEVLUDIN BASIC CRNA
6060 PRIMACY PKWY SUITE 241
MEMPHIS, TN 38119-5745
Phone number: 901-725-5846
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