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Individual

MS. PATRICIA T MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 653-6741
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
239576
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003321901
TX
Enumeration date
10/12/2006
Last updated
06/09/2015
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