CHARLES R MACK

WEST SENECA, NY
NPI1780786053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  293597-1)
Enumeration Date2006-09-05
Last Update Date2007-07-08
Business Address
-- CHARLES R MACK CRNA
4185 SENECA ST SUITE 11
WEST SENECA, NY 14224-3565
Phone number: 716-674-8189
Mailing Address
-- CHARLES R MACK CRNA
4185 SENECA STREET SUITE 11
WEST SENECA, NY 14224
Phone number: 716-674-8189
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