MARK L EDLEFSEN

BOISE, ID
NPI1265679856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA742)
Enumeration Date2009-01-19
Last Update Date2009-01-19
Business Address
-- MARK L EDLEFSEN CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
Mailing Address
-- MARK L EDLEFSEN CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
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