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1811986193
GERALD H FORD
ABILENE, TX
NPI
1811986193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 038581)
Enumeration Date
2005-10-19
Last Update Date
2008-01-02
Business Address
-- GERALD H FORD CRNA
4400 BUFFALO GAP RD SUITE 2250
ABILENE, TX 79606-2723
Phone number: 325-793-5380
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Mailing Address
-- GERALD H FORD CRNA
PO BOX 5409
ABILENE, TX 79608-5409
Phone number: 325-793-5380
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