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1114599164
NATHAN ALLEN BRISCOE
BOISE, ID
NPI
1114599164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID 54362)
Enumeration Date
2021-07-10
Last Update Date
2021-09-07
Business Address
NATHAN ALLEN BRISCOE CRNA
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-336-0895
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Mailing Address
NATHAN ALLEN BRISCOE CRNA
3538 N CURT DR
MERIDIAN, ID 83646-5506
Phone number: 208-991-8511
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