ROSS TEEPLE

BOISE, ID
NPI1700658994
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  77818)
Enumeration Date2023-10-23
Last Update Date2023-10-23
Business Address
ROSS TEEPLE
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-336-0895
Mailing Address
ROSS TEEPLE
PO BOX 1122
GRAYLING, MI 49738-5122
Phone number: 989-745-3608
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