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1942577085
MARK EVERETT BASHFORD
MINEOLA, NY
NPI
1942577085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 540595)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
Mr. MARK EVERETT BASHFORD CRNA
216 1ST ST
MINEOLA, NY 11501-3901
Phone number: 516-741-0570
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Mailing Address
Mr. MARK EVERETT BASHFORD CRNA
216 1ST ST
MINEOLA, NY 11501-3901
Phone number: 516-741-0570
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