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Individual

BRET ALLEN WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-6017
Mailing address
624 POWER CIR, BILOXI, MS 39531-2540
(228) 207-2247

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R864600
MS

Other

Enumeration date
05/15/2009
Last updated
05/15/2009
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