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1962931105
MICHAEL EDWARD KIENTZ
SANTA ROSA, CA
NPI
1962931105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 724033)
Enumeration Date
2017-06-10
Last Update Date
2017-06-10
Business Address
MICHAEL EDWARD KIENTZ CRNA
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-393-4000
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Mailing Address
MICHAEL EDWARD KIENTZ CRNA
14050 SOSNA WAY
GUERNEVILLE, CA 95446-9590
Phone number: 561-310-8721
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