LOREN B THIEL

DOUGLAS, WY
NPI1063503514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WY  192490704)
Enumeration Date2006-09-28
Last Update Date2018-02-15
Business Address
Mr. LOREN B THIEL MS CRNA
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-358-2122
Mailing Address
Mr. LOREN B THIEL MS CRNA
PO BOX 1385
IDAHO FALLS, ID 83403-1385
Phone number: 208-525-2090
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