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Organization
WALL ANESTHESIA INC.
Active
Organization
WALL ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WALL CRNA (PRESIDENT)
(239) 433-1749
Entity
Organization
Contact information
Practice address
6485 MORGAN LA FEE LN, FORT MYERS, FL 33912-1644
(239) 433-1749
Mailing address
6485 MORGAN LA FEE LN, FORT MYERS, FL 33912-1644
(239) 433-1749
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1389652
FL
Other
Enumeration date
01/21/2007
Last updated
11/16/2007
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