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1457451387
BRUCE MARSHALL EDWARDS
GREEN BAY, WI
NPI
1457451387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 62645-030)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- BRUCE MARSHALL EDWARDS CRNA APNP
835 S VAN BUREN ST
GREEN BAY, WI 54301
Phone number: 920-433-0111
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Mailing Address
-- BRUCE MARSHALL EDWARDS CRNA APNP
PO BOX 13508
GREEN BAY, WI 54307-3508
Phone number: 920-433-0111
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