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1598790719
MICHAEL SHANE BREWTON
NACOGDOCHES, TX
NPI
1598790719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 701994)
Enumeration Date
2006-07-12
Last Update Date
2009-01-13
Business Address
-- MICHAEL SHANE BREWTON CRNA
4800 NE STALLINGS DR SUITE110
NACOGDOCHES, TX 75965-1249
Phone number: 936-569-9443
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Mailing Address
-- MICHAEL SHANE BREWTON CRNA
4800 NE STALLINGS DR SUITE110
NACOGDOCHES, TX 75965-1249
Phone number: 936-569-9443
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