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1003145426
SCOTT IAN HALVORSON
DULUTH, MN
NPI
1003145426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN r166293-9)
Enumeration Date
2009-12-14
Last Update Date
2020-12-18
Business Address
SCOTT IAN HALVORSON CRNA
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555
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Mailing Address
SCOTT IAN HALVORSON CRNA
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555
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