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Individual

THEODORE G. VOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R013085
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001917
BLUE CROSS SD
SD
01
03N69VO
BLUE CROSS MN
MN
05
5750480
SD
05
941153
IA
Enumeration date
07/27/2006
Last updated
04/04/2008
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