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1699713313
KENNETH MICHAEL STAVRAKAS
CHARLOTTE, NC
NPI
1699713313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 065707)
Enumeration Date
2006-06-03
Last Update Date
2010-08-09
Business Address
-- KENNETH MICHAEL STAVRAKAS CRNA
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-8983
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Mailing Address
-- KENNETH MICHAEL STAVRAKAS CRNA
PO BOX 32861 ANESTHESIA SVCS - 5TH FLOOR SURGERY TOWER
CHARLOTTE, NC 28232-2861
Phone number: 704-355-8983
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