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Individual

CHRISTINE K VIOLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4665 DOUGLAS CIR NW, SUITE 101, CANTON, OH 44718-3673
(330) 499-5700
(330) 498-4229
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN212545
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232731
ANTHEM
05
2058400
OH
01
430075610
MEDICARE RAILROAD
Enumeration date
05/17/2006
Last updated
08/27/2008
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