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Individual

JOHN ERKEL MOBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
906 JUDSON RD, LONGVIEW, TX 75601-5113
(903) 655-1313
(903) 657-6067
Mailing address
P.O. BOX 2527, LONGVIEW, TX 75606-2527
(903) 657-6067
(903) 657-6067

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233346
TX
367500000X
Certified Registered Nurse Anesthetist
32776
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002253503
TX
Enumeration date
06/07/2006
Last updated
03/03/2009
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