SAMUEL IRVING

TERRE HAUTE, IN
NPI1619442613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28247851A)
Enumeration Date2018-10-05
Last Update Date2019-05-20
Business Address
SAMUEL IRVING CRNA
3901 S 7TH ST
TERRE HAUTE, IN 47802-5709
Phone number: 630-776-4711
Mailing Address
SAMUEL IRVING CRNA
1978 W 9640 S
SOUTH JORDAN, UT 84095-9365
Phone number:
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