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1851369805
WILLAM HEADY
BOISE, ID
NPI
1851369805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA-195-A)
Enumeration Date
2006-03-08
Last Update Date
2012-10-19
Business Address
Mr. WILLAM HEADY CRNA
7154 W STATE ST #369
BOISE, ID 83714-7421
Phone number: 208-859-1081
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Mailing Address
Mr. WILLAM HEADY CRNA
7154 W STATE ST
BOISE, ID 83714-7421
Phone number: 208-859-1081
Copy
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