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1992723118
GREGORY CHARLTON VINCENT
PADUCAH, KY
NPI
1992723118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 3002028)
Enumeration Date
2006-07-17
Last Update Date
2015-08-31
Business Address
-- GREGORY CHARLTON VINCENT CRNA
225 MEDICAL CENTER DR SUITE 105
PADUCAH, KY 42003-7914
Phone number: 270-441-4500
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Mailing Address
-- GREGORY CHARLTON VINCENT CRNA
PO BOX 636961
CINCINNATI, OH 45263-6961
Phone number: 513-981-5130
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