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Organization

DEIRDRA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEIRDRA R DYENSON CRNA (CRNA)
(864) 963-9459
Entity
Organization

Contact information

Practice address
3 KIRKWALL CT, SIMPSONVILLE, SC 29681-4292
(864) 963-9459
(864) 962-5649
Mailing address
3 KIRKWALL CT, SIMPSONVILLE, SC 29681-4292
(864) 963-9459
(864) 962-5649

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
852
SC

Other

Enumeration date
07/03/2006
Last updated
08/17/2018
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