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1659300119
MARK ALLEN LANG
WARREN, OH
NPI
1659300119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH RN.229173.COA-1)
Enumeration Date
2006-06-30
Last Update Date
2015-02-19
Business Address
-- MARK ALLEN LANG CRNA
667 EASTLAND AVE SE
WARREN, OH 44484-4503
Phone number: 330-841-4000
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Mailing Address
-- MARK ALLEN LANG CRNA
4135 BOARDMAN CANFIELD RD SUITE 101
CANFIELD, OH 44406-9803
Phone number: 330-286-5330
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