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Individual

KALIE MARIE COMBASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-6504
(352) 273-6438
Mailing address
1625 NW 19TH CIR, GAINESVILLE, FL 32605-4093

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9470541
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11039199
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126829700
FL
Enumeration date
03/04/2024
Last updated
06/05/2025
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