JOHN THOMAS KEZELE

PRESTON, ID
NPI1326239419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-366A)
Enumeration Date2007-08-05
Last Update Date2015-05-12
Business Address
-- JOHN THOMAS KEZELE CRNA
44 N 100 E
PRESTON, ID 83263-1326
Phone number: 208-852-0137
Mailing Address
-- JOHN THOMAS KEZELE CRNA
104 N BEAR RIVER BLFS
PRESTON, ID 83263-5184
Phone number: 208-852-2019
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