LARRY EDGERTON

CALDWELL, ID
NPI1215082599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA17)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- LARRY EDGERTON CRNA
1717 ARLINGTON AVE
CALDWELL, ID 83605-4802
Phone number: 208-455-3940
Mailing Address
-- LARRY EDGERTON CRNA
1717 ARLINGTON AVE
CALDWELL, ID 83605-4802
Phone number: 208-455-3940
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