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MR. EDWARD BLAINE BOSTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-6965
Mailing address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-6965

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
061638
NC

Other

Enumeration date
06/23/2006
Last updated
07/21/2022
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