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1104806223
KEVIN F BOHAC
CARROLL, IA
NPI
1104806223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA 088828)
Enumeration Date
2006-01-17
Last Update Date
2015-01-21
Business Address
-- KEVIN F BOHAC CRNA
311 S CLARK STREET
CARROLL, IA 51401-3038
Phone number: 712-792-3581
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Mailing Address
-- KEVIN F BOHAC CRNA
PO BOX 628
CARROLL, IA 51401-0628
Phone number: 712-792-3581
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