TRAVIS S TRIPP

BOISE, ID
NPI1376752915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  TEMPORARY)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- TRAVIS S TRIPP CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
Mailing Address
-- TRAVIS S TRIPP CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
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