KEITH E MACKSOUD

LINCOLN, RI
NPI1659346740
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  RNA24719)
Enumeration Date2006-02-22
Last Update Date2007-10-31
Business Address
-- KEITH E MACKSOUD CRNA
1817 OLD LOUISQUISSET PIKE
LINCOLN, RI 02865-4516
Phone number: 401-727-2443
Mailing Address
-- KEITH E MACKSOUD CRNA
1817 OLD LOUISQUISSET PIKE
LINCOLN, RI 02865-4516
Phone number: 401-727-2443
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