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1922012293
KELLY J HAUCK
HOUSTON, TX
NPI
1922012293
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Former Name
KELLY J BERGMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP114586)
Enumeration Date
2006-07-29
Last Update Date
2018-06-01
Business Address
KELLY J HAUCK CRNA
1500 CITYWEST BLVD STE. 300
HOUSTON, TX 77042
Phone number: 713-620-4000
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Mailing Address
KELLY J HAUCK CRNA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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