JON F CHAMPLIN

IDAHO FALLS, ID
NPI1386722429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA328A)
Enumeration Date2006-11-02
Last Update Date2007-12-21
Business Address
-- JON F CHAMPLIN CRNA
1945 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-529-1945
Mailing Address
-- JON F CHAMPLIN CRNA
PO BOX 52180
IDAHO FALLS, ID 83405-2180
Phone number: 208-523-4906
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