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1356728810
ANESTHESIA ZZZ LLC
POCATELLO, ID
NPI
1356728810
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Entity Type
Organization
Authorized Contact
ERIC M BEACHELL
Group Owner
208-540-0134
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
ANESTHESIA ZZZ LLC
285 VISTA DR
POCATELLO, ID 83201-4987
Phone number: 208-478-1704
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Mailing Address
ANESTHESIA ZZZ LLC
616 S 800 E
PRESTON, ID 83263-4904
Phone number: 208-540-0134
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