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1871646893
JEFFREY DEAN BOUNSALL
SOUTHFIELD, MI
NPI
1871646893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 077154)
Enumeration Date
2007-01-21
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY DEAN BOUNSALL CRNA
27545 FRANKLIN RD APT 107
SOUTHFIELD, MI 48034-8249
Phone number: 248-350-2718
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Mailing Address
Mr. JEFFREY DEAN BOUNSALL CRNA
27545 FRANKLIN RD APT 107
SOUTHFIELD, MI 48034-8249
Phone number: 248-350-2718
Copy
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