KIRK LANCE VICTORIAN

EL PASO, TX
NPI1730205535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP115614)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  718442)
Enumeration Date2007-03-22
Last Update Date2019-11-04
Business Address
Mr. KIRK LANCE VICTORIAN CRNA
2415 E. VANDELL DR SUIT B
EL PASO, TX 79903-3616
Phone number: 915-577-0111
Mailing Address
Mr. KIRK LANCE VICTORIAN CRNA
PO BOX 3899
EL PASO, TX 79923-3899
Phone number: 915-577-0030
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