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1225064207
MARY WAIGHT
IDAHO FALLS, ID
NPI
1225064207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID N-12364)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
-- MARY WAIGHT CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6269
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Mailing Address
-- MARY WAIGHT CRNA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 866-570-0077
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