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1922105949
KEITH D TYER
BOSSIER CITY, LA
NPI
1922105949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN045473APO1843)
Enumeration Date
2006-09-20
Last Update Date
2008-08-05
Business Address
-- KEITH D TYER CRNA
2400 HOSPITAL DR
BOSSIER CITY, LA 71111-2385
Phone number: 318-212-7000
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Mailing Address
-- KEITH D TYER CRNA
406 PARKLANE DR
BOSSIER CITY, LA 71111-2216
Phone number: 318-747-4244
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