MARK DWAINE ALLRED

ABILENE, TX
NPI1215337993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  868740)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  0)
Enumeration Date2014-08-29
Last Update Date2014-12-11
Business Address
-- MARK DWAINE ALLRED CRNA
1900 PINE ST
ABILENE, TX 79601-2432
Phone number: 325-670-4220
Mailing Address
-- MARK DWAINE ALLRED CRNA
PO BOX 1198
ABILENE, TX 79604-1198
Phone number: 325-670-4372
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