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1619008018
PHILLIP L PUTNAM
BATON ROUGE, LA
NPI
1619008018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 069265 01565)
Enumeration Date
2007-03-08
Last Update Date
2016-06-23
Business Address
-- PHILLIP L PUTNAM CRNA
8212 SUMMA AVE
BATON ROUGE, LA 70809-3421
Phone number: 225-769-4403
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Mailing Address
-- PHILLIP L PUTNAM CRNA
7777 HENNESSY BLVD STE 301
BATON ROUGE, LA 70808-0319
Phone number: 225-769-4403
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