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1760455265
CHARLES F. WALLER
FORT WORTH, TX
NPI
1760455265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 564644)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
-- CHARLES F. WALLER CRNA
321 N BAILEY AVE
FORT WORTH, TX 76107-1001
Phone number: 817-378-8573
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Mailing Address
-- CHARLES F. WALLER CRNA
321 N BAILEY AVE
FORT WORTH, TX 76107-1001
Phone number: 817-378-8573
Copy
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