SAMUEL LANCE OGLE

FORREST CITY, AR
NPI1710946736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C00837)
Enumeration Date2006-03-20
Last Update Date2014-10-06
Business Address
Mr. SAMUEL LANCE OGLE CRNA
1601 NEW CASTLE RD
FORREST CITY, AR 72335-2218
Phone number: 870-261-0513
Mailing Address
Mr. SAMUEL LANCE OGLE CRNA
P.O. BOX 771522
MEMPHIS, TN 38177-1522
Phone number: 901-747-4624
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