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Individual
THEODOOR CHRISTIAAN HANCKE
Active
Individual
THEODOOR CHRISTIAAN HANCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
713757
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
713757
TX
Other
Enumeration date
11/24/2009
Last updated
10/22/2010
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