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1760041560
CODY CHARLES RASMUSSEN
GILLETTE, WY
NPI
1760041560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: UT 8677271-3102)
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
CODY CHARLES RASMUSSEN CRNA
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-688-1000
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Mailing Address
CODY CHARLES RASMUSSEN CRNA
2908 W BISON RIDGE RD
SOUTH JORDAN, UT 84095-5067
Phone number: 801-707-0037
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