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1942230289
KENNETH STANLEY
ATHENS, GA
NPI
1942230289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN102533)
Enumeration Date
2006-07-03
Last Update Date
2007-11-08
Business Address
-- KENNETH STANLEY CRNA
1199 PRINCE AVE
ATHENS, GA 30606-2797
Phone number: 706-543-3449
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Mailing Address
-- KENNETH STANLEY CRNA
PO BOX 7337
ATHENS, GA 30604-7337
Phone number: 706-543-3449
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