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Individual

CHRISTOPHER M BOURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4048 EVANS AVE, STE 303, FORT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Mailing address
4048 EVANS AVE, STE 303, FORT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9277804
FL

Other

Enumeration date
02/09/2011
Last updated
02/09/2011
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