JEREMY SHANE BISON

CARLSBAD, NM
NPI1194079806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  CRNA-01281)
Enumeration Date2012-11-01
Last Update Date2016-07-01
Business Address
-- JEREMY SHANE BISON CRNA
2430 W PIERCE ST
CARLSBAD, NM 88220-3553
Phone number: 318-934-2242
Mailing Address
-- JEREMY SHANE BISON CRNA
PO BOX 1547
SEDALIA, MO 65302-1547
Phone number: 660-826-5960
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