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1235288341
SAMUEL ALLEN BRACKEN
EL PASO, TX
NPI
1235288341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 656358)
Enumeration Date
2007-01-09
Last Update Date
2018-02-16
Business Address
Mr. SAMUEL ALLEN BRACKEN CRNA
1755 CURIE DR
EL PASO, TX 79902-2919
Phone number: 915-544-3636
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Mailing Address
Mr. SAMUEL ALLEN BRACKEN CRNA
5959 GATEWAY BLVD W STE 120
EL PASO, TX 79925-3315
Phone number: 915-779-1716
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