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1972001360
DANIEL GIDEON
FORT WORTH, TX
NPI
1972001360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 819991)
Enumeration Date
2018-01-31
Last Update Date
2018-01-31
Business Address
DANIEL GIDEON
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1417
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Mailing Address
DANIEL GIDEON
3506 KENSINGTON PL
AMARILLO, TX 79121-1689
Phone number: 806-679-2863
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