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1063594638
HAROLD RICHIE BANDALAN
TYLER, TX
NPI
1063594638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 671921)
Enumeration Date
2006-10-20
Last Update Date
2013-05-01
Business Address
-- HAROLD RICHIE BANDALAN CRNA
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-526-1068
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Mailing Address
-- HAROLD RICHIE BANDALAN CRNA
P.O. BOX 8027
TYLER, TX 75711-8027
Phone number: 903-526-1068
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