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1891557187
KATRINA DAVIS FAVERO
IDAHO FALLS, ID
NPI
1891557187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID 78547)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
-- KATRINA DAVIS FAVERO CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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Mailing Address
-- KATRINA DAVIS FAVERO CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
Copy
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