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1922379023
BOCEIFUS OMAR MEDLIN
SCOTTSDALE, AZ
NPI
1922379023
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Former Name
BO OMAR MEDLIN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ CRNA0817)
Enumeration Date
2012-01-20
Last Update Date
2023-11-07
Business Address
BOCEIFUS OMAR MEDLIN CRNA
13400 E. SHEA BLVD.
SCOTTSDALE, AZ 85259
Phone number: 480-342-1800
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Mailing Address
BOCEIFUS OMAR MEDLIN CRNA
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5043
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