JASON SHANE BRUCE

OKMULGEE, OK
NPI1740218866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R 0085091)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2004003392)
Enumeration Date2006-06-29
Last Update Date2007-07-09
Business Address
Mr. JASON SHANE BRUCE CRNA
1401 MORRIS DR
OKMULGEE, OK 74447-6429
Phone number: 918-756-3177
Mailing Address
Mr. JASON SHANE BRUCE CRNA
18162 OLD MORRIS HWY
OKMULGEE, OK 74447
Phone number: 918-733-9824
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