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1487661179
MATTHEW JAMES BRUENING
BELLEVILLE, IL
NPI
1487661179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209003429)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- MATTHEW JAMES BRUENING CRNA
4500 MEMORIAL DR MEMORIAL HOSPITAL
BELLEVILLE, IL 62223
Phone number: 618-257-4076
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Mailing Address
-- MATTHEW JAMES BRUENING CRNA
1305 MERGANSER BLVD
SWANSEA, IL 62226
Phone number: 618-222-2804
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