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1740245174
GEORGIA MONTGOMERY
LAFAYETTE, IN
NPI
1740245174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28167868A)
Enumeration Date
2006-04-19
Last Update Date
2008-02-01
Business Address
-- GEORGIA MONTGOMERY CRNA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2479
Phone number: 765-448-8000
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Mailing Address
-- GEORGIA MONTGOMERY CRNA
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000
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