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1639790306
JACOB WAYNE
HARTFORD, CT
NPI
1639790306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 91147)
Enumeration Date
2020-05-04
Last Update Date
2020-05-04
Business Address
JACOB WAYNE CRNA
80 SEYMOUR ST
HARTFORD, CT 06102-8000
Phone number: 860-545-5000
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Mailing Address
JACOB WAYNE CRNA
99 EAST RIVER DRIVE 5TH FLOOR
EAST HARTFORD, CT 06108
Phone number: 860-282-0833
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