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1194710939
PAUL M BOMMERSBACH
SIOUX FALLS, SD
NPI
1194710939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SD R025403)
Enumeration Date
2005-09-19
Last Update Date
2010-08-20
Business Address
-- PAUL M BOMMERSBACH CRNA
800 E 21ST ST
SIOUX FALLS, SD 57105-1016
Phone number: 605-322-2754
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Mailing Address
-- PAUL M BOMMERSBACH CRNA
800 E 21ST ST PAT FINANCIAL SERV.
SIOUX FALLS, SD 57105-1016
Phone number: 605-322-2754
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