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1134106289
BRUCE MICHAEL WILSON
WAXAHACHIE, TX
NPI
1134106289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 253451)
Enumeration Date
2005-12-29
Last Update Date
2007-07-09
Business Address
Mr. BRUCE MICHAEL WILSON CRNA
1405 W JEFFERSON ST
WAXAHACHIE, TX 75165-2231
Phone number: 972-937-7240
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Mailing Address
Mr. BRUCE MICHAEL WILSON CRNA
800 N HIGHWAY 77 STE 160 PMB#224
WAXAHACHIE, TX 75165-1884
Phone number: 972-937-7240
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