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Individual

JAMES CLEVELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 HOSPITAL DR, KETCHUM, ID 83340
(208) 727-8800
Mailing address
100 HOSPITAL DR, KETCHUM, ID 83340
(208) 727-8800

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-121
ID

Other

Enumeration date
08/14/2007
Last updated
08/14/2007
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