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1972576734
BILL TISUE
DECORAH, IA
NPI
1972576734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA 047720)
Enumeration Date
2006-02-10
Last Update Date
2008-04-28
Business Address
-- BILL TISUE CRNA
901 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 319-382-2911
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Mailing Address
-- BILL TISUE CRNA
400 E 10TH ST
WACONIA, MN 55387-4552
Phone number: 952-442-9770
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