CLINT D ALLRED

BOISE, ID
NPI1053548131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA793)
Enumeration Date2009-06-16
Last Update Date2011-05-19
Business Address
Mr. CLINT D ALLRED CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
Mr. CLINT D ALLRED CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
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