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Individual

MARCOS D DEMOURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
818 SUNSET DR STE 103, JOHNSON CITY, TN 37604-8310
(423) 794-3142
Mailing address
3717 GLEN ALPINE RD, KINGSPORT, TN 37660-7862
(423) 741-9464

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13901
TN

Other

Enumeration date
02/09/2009
Last updated
06/17/2013
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