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1326025784
MACK EVANS HADDOCK
OCALA, FL
NPI
1326025784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 9201655)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
Mr. MACK EVANS HADDOCK CRNA
1160 SE 18TH PL OCALA ENDOSCOPY CENTER
OCALA, FL 34471-5422
Phone number: 352-732-8905
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Mailing Address
Mr. MACK EVANS HADDOCK CRNA
911 SOLEDAD WAY
THE VILLAGES, FL 32159-9112
Phone number: 352-259-7483
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