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Individual

MARTIN BENGT JACOBSSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
Mailing address
26792 MADIGAN DR, CANYON COUNTRY, CA 91351-4809
(661) 250-0709

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
509823
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3023
CA

Other

Enumeration date
06/01/2007
Last updated
05/24/2017
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