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1710073267
JAN SIBBETT
IDAHO FALLS, ID
NPI
1710073267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID N-19572)
Enumeration Date
2006-10-04
Last Update Date
2011-07-20
Business Address
-- JAN SIBBETT CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Phone number: 208-529-6269
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Mailing Address
-- JAN SIBBETT CRNA
255 W MICHIGAN AVE
JACKSON, MI 49201
Phone number: 866-570-0077
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