Individual
CAROL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1601 W 11TH PL, BIG SPRING, TX 79720-4114
(660) 826-5960
(660) 826-4852
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
676805
TX
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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