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1811573173
BRENT OWEN ALLEN
GILLETTE, WY
NPI
1811573173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WY 47207)
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
BRENT OWEN ALLEN CRNA
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-688-1000
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Mailing Address
BRENT OWEN ALLEN CRNA
21416 STONEHAVEN CIR
GRETNA, NE 68028-6921
Phone number: 801-602-0769
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