JED D HANKS

BLACKFOOT, ID
NPI1386992097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-849A)
Enumeration Date2012-08-28
Last Update Date2012-12-20
Business Address
-- JED D HANKS CRNA
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-3830
Mailing Address
-- JED D HANKS CRNA
PO BOX 1627
IDAHO FALLS, ID 83403-1627
Phone number: 208-552-8778
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