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Individual

DUSTIN J ABRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(903) 663-3600
(214) 382-5417
Mailing address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(903) 663-3600
(214) 382-5417

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105075
OK

Other

Enumeration date
04/16/2012
Last updated
04/16/2012
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