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Individual
JEFFREY COVER ENNIS
Active
Individual
JEFFREY COVER ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
329264
NC
367500000X
Certified Registered Nurse Anesthetist
6547
NC
Other
Enumeration date
05/05/2015
Last updated
01/04/2021
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