MARVIN LOOS

BLOOMINGTON, IL
NPI1790761716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041 136213)
Enumeration Date2005-12-21
Last Update Date2011-11-16
Business Address
-- MARVIN LOOS CRNA
1505 EASTLAND DR LL1400
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-4700
Mailing Address
-- MARVIN LOOS CRNA
1505 EASTLAND DR LL1400
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-4700
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