DALLIN LEE BRACKEN

GILLETTE, WY
NPI1336465798
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WY  28057.1046)
Enumeration Date2010-04-09
Last Update Date2010-10-27
Business Address
-- DALLIN LEE BRACKEN CRNA
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-688-1000
Mailing Address
-- DALLIN LEE BRACKEN CRNA
2001 W LAKEWAY RD
GILLETTE, WY 82718-5773
Phone number: 307-689-9772
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