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Individual

MR. JASON BOYD GIROUARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, MSN

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131818
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA000292
NV

Other

Enumeration date
08/10/2005
Last updated
12/19/2019
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