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OPHELIA OLBON LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
726 S CHURCH ST, MURFREESBORO, TN 37130-4926
(615) 653-9280
Mailing address
PO BOX 291264, NASHVILLE, TN 37229-1264
(615) 620-2320
(615) 620-2323

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN10337
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10337
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1504257
TN
01
4232078
BC/BS OF TN - SO ANES CONSULTANTS
TN
01
4254555
BC/BC TN - DOUBLE O
TN
05
8051433
NC
Enumeration date
07/13/2005
Last updated
07/30/2010
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