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1700956877
CHARLES R WOODRUFF
DOUGLAS, WY
NPI
1700956877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WY 23694.0835)
Enumeration Date
2006-11-08
Last Update Date
2013-12-20
Business Address
-- CHARLES R WOODRUFF CRNA
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-359-8667
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Mailing Address
-- CHARLES R WOODRUFF CRNA
111 SOUTH 5TH ST
DOUGLAS, WY 82633
Phone number: 307-359-8667
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