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1669471827
JAY BIESENTHAL
FAYETTEVILLE, NC
NPI
1669471827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 127107)
Enumeration Date
2005-07-20
Last Update Date
2007-07-09
Business Address
Mr. JAY BIESENTHAL CRNA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-609-6440
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Mailing Address
Mr. JAY BIESENTHAL CRNA
401 CHARLESTON DR
CLAYTON, NC 27527-3950
Phone number: 919-553-4527
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