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1891975710
ERIC JACOB LINDSTROM
MORGANTOWN, WV
NPI
1891975710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 69067)
Enumeration Date
2007-11-08
Last Update Date
2010-03-16
Business Address
-- ERIC JACOB LINDSTROM CRNA
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4000
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Mailing Address
-- ERIC JACOB LINDSTROM CRNA
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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