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1609942564
WESLEY LANE KEITH
DALLAS, TX
NPI
1609942564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 648925)
Enumeration Date
2006-11-24
Last Update Date
2020-07-01
Business Address
Mr. WESLEY LANE KEITH CRNA
6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX 75240-6524
Phone number: 972-233-1999
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Mailing Address
Mr. WESLEY LANE KEITH CRNA
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-0624
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