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1457313561
RENNY BOASE
COLLEGE STATION, TX
NPI
1457313561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 221600)
Enumeration Date
2006-04-04
Last Update Date
2007-07-10
Business Address
-- RENNY BOASE
1600 UNIVERSITY DR E
COLLEGE STATION, TX 77840-2642
Phone number: 409-691-3300
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Mailing Address
-- RENNY BOASE
PO BOX 847556
DALLAS, TX 75284-7556
Phone number: 254-724-2111
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