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1740542000
JASON A AMBROSE
DANVILLE, PA
NPI
1740542000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN579492)
Enumeration Date
2012-06-13
Last Update Date
2014-06-04
Business Address
Mr. JASON A AMBROSE CRNA
100 N ACADEMY AVE
DANVILLE, PA 17822-2025
Phone number: 570-271-6621
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Mailing Address
Mr. JASON A AMBROSE CRNA
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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