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1326200734
ROBERT TAYLOR LEWIS
IDAHO FALLS, ID
NPI
1326200734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA-532)
Enumeration Date
2008-06-26
Last Update Date
2008-06-26
Business Address
-- ROBERT TAYLOR LEWIS CRNA
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2700
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Mailing Address
-- ROBERT TAYLOR LEWIS CRNA
5354 E SAGEWOOD DR
IDAHO FALLS, ID 83406-8279
Phone number: 208-716-1066
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