KEITH G ELLSTROM

PINEHURST, NC
NPI1982645784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  119861)
Enumeration Date2006-06-10
Last Update Date2007-07-08
Business Address
-- KEITH G ELLSTROM CRNA
155 MEMORIAL DR
PINEHURST, NC 28374-8710
Phone number: 910-715-1233
Mailing Address
-- KEITH G ELLSTROM CRNA
PO BOX 8500
PINEHURST, NC 28374-8500
Phone number: 910-715-5413
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