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Individual

JACOB J OPOLINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5801 BREMO RD, AMERICAN ANESTHESIOLGY OF VIRGINIA, PC, RICHMOND, VA 23226-1907
(973) 660-9334
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0707
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171442
VA
367500000X
Certified Registered Nurse Anesthetist
100110
VA
367500000X
Certified Registered Nurse Anesthetist
95000481
CA

Other

Enumeration date
01/06/2014
Last updated
06/29/2016
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