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1144294158
THEODORE DAVID HAYNES
WICHITA FALLS, TX
NPI
1144294158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 549839)
Enumeration Date
2006-02-15
Last Update Date
2007-11-19
Business Address
Mr. THEODORE DAVID HAYNES CRNA
1600 11TH ST DEPT. ANESTHESIA
WICHITA FALLS, TX 76301-4300
Phone number: 940-764-3390
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Mailing Address
Mr. THEODORE DAVID HAYNES CRNA
2959 S SHEPHERDS GLN
WICHITA FALLS, TX 76308-5450
Phone number: 940-691-1151
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