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1033159439
DIANA SAN JUAN SHIMKO
BOISE, ID
NPI
1033159439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA664)
Enumeration Date
2006-06-07
Last Update Date
2012-06-06
Business Address
-- DIANA SAN JUAN SHIMKO CRNA
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
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Mailing Address
-- DIANA SAN JUAN SHIMKO CRNA
6397 S OLIVE ST
CENTENNIAL, CO 80111-4632
Phone number: 407-616-0295
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