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1811934912
IDA M ANDERSON
ATLANTA, GA
NPI
1811934912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN031229)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
-- IDA M ANDERSON CRNA
303 PARKWAY DR NE
ATLANTA, GA 30312-1212
Phone number: 404-265-4000
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Mailing Address
-- IDA M ANDERSON CRNA
5507 VININGS LAKE LN SW
MABLETON, GA 30126-2561
Phone number:
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