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1699123976
WALROSS JIM BASIT
LINCOLN, NE
NPI
1699123976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NE 110041)
Enumeration Date
2016-05-27
Last Update Date
2016-05-27
Business Address
-- WALROSS JIM BASIT CRNA
4544 BANCROFT AVE APT 4
LINCOLN, NE 68506-4272
Phone number: 817-454-3018
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Mailing Address
-- WALROSS JIM BASIT CRNA
4544 BANCROFT AVE APT 4
LINCOLN, NE 68506-4272
Phone number: 817-454-3018
Copy
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