WINSTON CLARK BRUCE

AUGUSTA, GA
NPI1346412749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2007002508)
Enumeration Date2008-03-26
Last Update Date2013-04-13
Business Address
-- WINSTON CLARK BRUCE CRNA
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-723-4428
Mailing Address
-- WINSTON CLARK BRUCE CRNA
1022 BRISTOL TRL
EVANS, GA 30809-8259
Phone number: 210-381-5250
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