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Individual

HAROLD SOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
709 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5047
(952) 442-9770
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN90148
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3028834
BLUE CROSS OF TN
TN
05
3620458
TN
Enumeration date
10/24/2005
Last updated
04/29/2008
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