CARLOS X MORENO

DEKALB, IL
NPI1760763270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041353932)
Enumeration Date2011-08-30
Last Update Date2011-08-30
Business Address
-- CARLOS X MORENO CRNA
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 815-756-1521
Mailing Address
-- CARLOS X MORENO CRNA
255 W MICHIGAN AVE PO BOX 1123
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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