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1861763278
RANDALL VERZWYVELT
LONGVIEW, TX
NPI
1861763278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 808502)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
Mr. RANDALL VERZWYVELT CRNA
2901 N 4TH ST
LONGVIEW, TX 75605-5128
Phone number: 903-758-1818
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Mailing Address
Mr. RANDALL VERZWYVELT CRNA
512 MEADOWBROOK DR
LONGVIEW, TX 75601-3819
Phone number: 225-241-3849
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