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1285751271
JIM S. DAVIS
GRAND RAPIDS, MN
NPI
1285751271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 026093)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- JIM S. DAVIS CRNA
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-5000
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Mailing Address
-- JIM S. DAVIS CRNA
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-5000
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