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1770905473
KALEN KOSIK
DOTHAN, AL
NPI
1770905473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-124781)
Enumeration Date
2014-01-14
Last Update Date
2014-01-14
Business Address
-- KALEN KOSIK
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8111
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Mailing Address
-- KALEN KOSIK
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8111
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