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1700400272
JARED K ANGSTADT
LAGRANGE, GA
NPI
1700400272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN236700)
Enumeration Date
2020-06-01
Last Update Date
2024-04-29
Business Address
JARED K ANGSTADT CRNA
1514 VERNON RD
LAGRANGE, GA 30240-4131
Phone number: 706-882-1411
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Mailing Address
JARED K ANGSTADT CRNA
PO BOX 603484
CHARLOTTE, NC 28260-3484
Phone number: 803-765-1838
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