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1104003326
CARLENE M CANFIELD
IDAHO FALLS, ID
NPI
1104003326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID N-15497)
Enumeration Date
2008-01-30
Last Update Date
2011-04-07
Business Address
-- CARLENE M CANFIELD CRNA
1601 E 17TH ST
IDAHO FALLS, ID 83404-6313
Phone number: 208-525-2090
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Mailing Address
-- CARLENE M CANFIELD CRNA
1601 E 17TH ST
IDAHO FALLS, ID 83404-6313
Phone number: 208-525-2090
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