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1780954511
BLAIR BOEVING CANNON
MEMPHIS, TN
NPI
1780954511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN RN0000158063)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
Mrs. BLAIR BOEVING CANNON CRNA
1755 KIRBY PKWY STE. 330
MEMPHIS, TN 38120-8300
Phone number: 901-725-5846
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Mailing Address
Mrs. BLAIR BOEVING CANNON CRNA
4231 BARFIELD RD
MEMPHIS, TN 38117-1611
Phone number: 901-359-2512
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