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Licenses
Anesthesiologist Assistant
Kentucky
02646
Mark R. Fantauzzi
Anesthesiologist Assistant in Portland, ME
License number
Kentucky 02646
Issued Date
Jun 15, 2000
Expiration Date
Feb 29, 2012
Category
Anesthesiology
Type
Locum Tenens
Address
Address
91 C/O Medlicensure Prof Svcs , Ll, 91 Auburn St #J1229, Portland, ME 04103
Education
Univ of Des Moines Osteopathic Med & Surgery, Des Moines, 1987
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