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1811909013
CRIS H BONTRAGER
JACKSON, AL
NPI
1811909013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AL DO-902)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
CRIS H BONTRAGER D.O.
220 HOSPITAL DR
JACKSON, AL 36545-2459
Phone number: 251-246-9021
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Mailing Address
CRIS H BONTRAGER D.O.
112 FOREST AVE
JACKSON, AL 36545-2714
Phone number: 251-246-5114
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