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Individual

CHARLES BEAUDOIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3601 4TH ST, MS8182, LUBBOCK, TX 79430-0002
(806) 743-9945
Mailing address
3601 4TH ST, MS8182, LUBBOCK, TX 79430-0002

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130640
TX

Other

Enumeration date
03/24/2016
Last updated
01/10/2022
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