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1023493566
CHASE K NELSON
RUPERT, ID
NPI
1023493566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: OK 6034)
Enumeration Date
2015-07-27
Last Update Date
2020-11-19
Business Address
CHASE K NELSON D.O.
1308 8TH ST STE 1
RUPERT, ID 83350-1535
Phone number: 208-434-8420
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Mailing Address
CHASE K NELSON D.O.
1308 8TH ST STE 1
RUPERT, ID 83350-1535
Phone number: 208-434-8420
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