BLAKE G PURCELL

BLACKFOOT, ID
NPI1063590107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA52)
Enumeration Date2006-11-02
Last Update Date2017-09-19
Business Address
-- BLAKE G PURCELL CRNA
1485 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-5100
Mailing Address
-- BLAKE G PURCELL CRNA
PO BOX 2193
IDAHO FALLS, ID 83403-2193
Phone number: 208-552-8762
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