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Individual

AIMEE M RACETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(073) 739-7218
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7218
(307) 739-7446

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
120548
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
1729
WY
367500000X
Certified Registered Nurse Anesthetist
CRA-4217
CO
367500000X
Certified Registered Nurse Anesthetist
RN-120548
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149185700
WY
05
29254272
CO
Enumeration date
07/12/2006
Last updated
02/18/2021
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