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1285871145
SHANE WHITNEY STORY
FORT WORTH, TX
NPI
1285871145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 702894)
Enumeration Date
2009-01-14
Last Update Date
2009-01-14
Business Address
Mr. SHANE WHITNEY STORY CRNA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-920-6864
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Mailing Address
Mr. SHANE WHITNEY STORY CRNA
1613 HARRISON PKWY
SUNRISE, FL 33323-2896
Phone number: 954-838-2685
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