ELIJAH SAMUEL VINCENT

NORTH PLATTE, NE
NPI1932694346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NE  101500)
Enumeration Date2018-06-27
Last Update Date2018-06-27
Business Address
ELIJAH SAMUEL VINCENT CRNA
601 W LEOTA ST
NORTH PLATTE, NE 69101-6525
Phone number: 308-568-8000
Mailing Address
ELIJAH SAMUEL VINCENT CRNA
17118 SILLS DR
PRAIRIEVILLE, LA 70769-3494
Phone number: 225-939-1038
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