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1720043219
GROVER SCOTT CRUISE
HATTIESBURG, MS
NPI
1720043219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R847413)
Enumeration Date
2006-04-19
Last Update Date
2024-10-03
Business Address
Mr. GROVER SCOTT CRUISE CRNA
125 S 12TH AVE
HATTIESBURG, MS 39401-6106
Phone number: 601-310-4509
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Mailing Address
Mr. GROVER SCOTT CRUISE CRNA
PO BOX 2295
ASHEVILLE, NC 28802-2295
Phone number: 828-398-5244
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