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1932485810
BRIAN KEITH MANLEY
PADUCAH, KY
NPI
1932485810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 3007122)
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
Mr. BRIAN KEITH MANLEY CRNA
2507 BROADWAY
PADUCAH, KY 42001-3124
Phone number: 270-442-8228
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Mailing Address
Mr. BRIAN KEITH MANLEY CRNA
2507 BROADWAY
PADUCAH, KY 42001-3124
Phone number: 270-442-8228
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