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1376598912
NELSON D DESTAFFANY
WACO, TX
NPI
1376598912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TX F3902)
Enumeration Date
2006-05-23
Last Update Date
2008-09-25
Business Address
-- NELSON D DESTAFFANY MD
405 LONDONDERRY DR SUITE 105
WACO, TX 76712-7924
Phone number: 254-776-0266
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Mailing Address
-- NELSON D DESTAFFANY MD
PO BOX 224137
DALLAS, TX 75222-4137
Phone number: 254-776-0266
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