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1457006033
CHANSE WAYNE BOEHRINGER
MANSFIELD, TX
NPI
1457006033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: TX 745455)
Enumeration Date
2022-02-13
Last Update Date
2022-02-13
Business Address
MR. CHANSE WAYNE BOEHRINGER ACNP-AG
2700 E BROAD ST
MANSFIELD, TX 76063-5899
Phone number: 682-242-5924
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Mailing Address
MR. CHANSE WAYNE BOEHRINGER ACNP-AG
7050 FM 660
ENNIS, TX 75119-0163
Phone number: 972-743-8818
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