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1639399173
MATILDA BESONG
COLUMBUS, GA
NPI
1639399173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN106732)
Enumeration Date
2007-04-26
Last Update Date
2007-10-06
Business Address
-- MATILDA BESONG CRNA
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-494-4262
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Mailing Address
-- MATILDA BESONG CRNA
4095 SOARING DR
DOUGLASVILLE, GA 30135-7459
Phone number: 205-317-6175
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