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1831615541
ANTHONY WADE FONDREN
JACKSON, TN
NPI
1831615541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 22967)
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
Dr. ANTHONY WADE FONDREN CRNA, DNP, BSN, BSBS
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-7070
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Mailing Address
Dr. ANTHONY WADE FONDREN CRNA, DNP, BSN, BSBS
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-7070
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