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Individual

JANIE KO STAPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
809556
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121116
TX
367500000X
Certified Registered Nurse Anesthetist
RN591738
PA

Other

Enumeration date
01/11/2011
Last updated
09/22/2020
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