TERRY A MARTIN

DODGE CITY, KS
NPI1639178874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  54522)
Enumeration Date2005-07-19
Last Update Date2007-07-09
Business Address
-- TERRY A MARTIN CRNA
100 W ROSS BLVD
DODGE CITY, KS 67801-7216
Phone number: 620-225-2847
Mailing Address
-- TERRY A MARTIN CRNA
915 N 5TH ST
CIMARRON, KS 67835-9262
Phone number: 620-855-7208
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