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1194198457
NATHAN BOONE CRICK
FORT WORTH, TX
NPI
1194198457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP129947)
Enumeration Date
2015-11-09
Last Update Date
2018-06-06
Business Address
NATHAN BOONE CRICK
5264 BUFFALO GAP TRL
FORT WORTH, TX 76126
Phone number: 817-296-1222
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Mailing Address
NATHAN BOONE CRICK
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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