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CURTIS L SANFORD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
(337) 769-2080
Mailing address
2644 S. SHERWOOD FOREST BLVD., SUITE 121, BATON ROUGE, LA 70816-2248
(225) 293-3587
(225) 293-1807

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
04372
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1177407
LA
Enumeration date
07/05/2006
Last updated
09/21/2015
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