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1023582947
KENNETH CLARK STRATTON
BOISE, ID
NPI
1023582947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID 60377)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
KENNETH CLARK STRATTON CRNA
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2559
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Mailing Address
KENNETH CLARK STRATTON CRNA
PO BOX 3750
SALT LAKE CITY, UT 84110-3750
Phone number:
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