JEFFERY W EDSTROM

BUFFALO, WY
NPI1164427274
Other NameJEFF W EDSTROM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  129337)
Enumeration Date2005-06-15
Last Update Date2014-06-03
Business Address
-- JEFFERY W EDSTROM
497 W LOTT ST
BUFFALO, WY 82834-1658
Phone number: 307-684-5521
Mailing Address
-- JEFFERY W EDSTROM
553 N PINNACLE DR
BUFFALO, WY 82834-1416
Phone number: 307-684-7817
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