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1588700579
JOHN BLAKE MCCRELESS
GADSDEN, AL
NPI
1588700579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-087231)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mr. JOHN BLAKE MCCRELESS CRNA
1007 GOODYEAR AVE
GADSDEN, AL 35903-1195
Phone number: 256-494-4000
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Mailing Address
Mr. JOHN BLAKE MCCRELESS CRNA
1104 GOODYEAR AVE APT 210
GADSDEN, AL 35903-2059
Phone number: 256-494-1514
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