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1093148934
MIKAEL B CRAPO
BOISE, ID
NPI
1093148934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA887A)
Enumeration Date
2013-08-14
Last Update Date
2014-08-14
Business Address
-- MIKAEL B CRAPO CRNA
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-6416
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Mailing Address
-- MIKAEL B CRAPO CRNA
PO BOX 4268
PORTLAND, OR 97208-4268
Phone number: 503-372-2740
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