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1992985998
LANCE A. WILKS
FORT WORTH, TX
NPI
1992985998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 698485)
Enumeration Date
2007-11-07
Last Update Date
2009-10-12
Business Address
-- LANCE A. WILKS CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 817-334-0530
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Mailing Address
-- LANCE A. WILKS CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 817-334-0530
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