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1972620953
DEBORAH A IDLAND
SAINT CLOUD, MN
NPI
1972620953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ND 042674)
Enumeration Date
2007-03-23
Last Update Date
2008-01-14
Business Address
DEBORAH A IDLAND CRNA
1526 NORTHWAY DR
SAINT CLOUD, MN 56303-1255
Phone number: 320-251-8385
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Mailing Address
DEBORAH A IDLAND CRNA
824 15TH AVE N
SARTELL, MN 56377-1999
Phone number: 320-202-2299
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