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1710229737
ANDREW FONTENOT
MEMPHIS, TN
NPI
1710229737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 17580)
Enumeration Date
2013-03-18
Last Update Date
2014-08-11
Business Address
-- ANDREW FONTENOT CRNA
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-545-8699
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Mailing Address
-- ANDREW FONTENOT CRNA
1407 UNION AVE STE 640
MEMPHIS, TN 38104-3666
Phone number: 901-866-8360
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