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Callan Gannon Jones, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Valparaiso, IN

NPI
1144868043
Type
Individual (Type 1)
Primary specialty
Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
367500000X
License number
130216 (UT)
Sex
Male
Sole proprietor
Yes
Enumerated
2019-12-11
Last updated
2020-02-05
Practice location
83 E Us-6 Frontage Road
Valparaiso, IN 46383
(219) 983-8300

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