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1255630570
KELLY M BOUMA
RAPID CITY, SD
NPI
1255630570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ND R36162)
Enumeration Date
2011-03-25
Last Update Date
2023-12-28
Business Address
KELLY M BOUMA CRNA
2800 3RD ST
RAPID CITY, SD 57701-7374
Phone number: 605-341-2000
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Mailing Address
KELLY M BOUMA CRNA
PO BOX 5010
MINOT, ND 58702-5010
Phone number: 701-418-8000
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