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1912214016
ELMER SHANE BOGER
PENSACOLA, FL
NPI
1912214016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP9312804)
Enumeration Date
2010-09-10
Last Update Date
2011-11-08
Business Address
-- ELMER SHANE BOGER CRNA
4901 GRANDE DR
PENSACOLA, FL 32504-5935
Phone number: 850-477-7042
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Mailing Address
-- ELMER SHANE BOGER CRNA
4901 GRANDE DR
PENSACOLA, FL 32504-5935
Phone number: 850-477-7042
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