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1487900825
CARLOS WILD
SAN ANTONIO, TX
NPI
1487900825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 817053)
Enumeration Date
2012-08-02
Last Update Date
2013-05-13
Business Address
-- CARLOS WILD CRNA
520 E EUCLID AVE
SAN ANTONIO, TX 78212-4414
Phone number: 210-242-0020
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Mailing Address
-- CARLOS WILD CRNA
102 YELLOWSTONE LAKE DR
LAREDO, TX 78041-1915
Phone number: 727-215-8177
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