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1790016970
JOHANNA LEE VANDERHOEVEN
ALEXANDRIA, LA
NPI
1790016970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP06020)
Enumeration Date
2010-01-27
Last Update Date
2015-09-11
Business Address
-- JOHANNA LEE VANDERHOEVEN CRNA
1444 PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-442-5399
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Mailing Address
-- JOHANNA LEE VANDERHOEVEN CRNA
PO BOX 5887
ALEXANDRIA, LA 71307-5887
Phone number: 318-442-5399
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