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1346222940
ROBERT D FULLINWIDER
AUSTIN, TX
NPI
1346222940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 29196)
Enumeration Date
2005-11-18
Last Update Date
2007-11-01
Business Address
-- ROBERT D FULLINWIDER CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2454
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Mailing Address
-- ROBERT D FULLINWIDER CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2454
Copy
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