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1235327446
MACIESKI CRNA PC
IDAHO FALLS, ID
NPI
1235327446
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Entity Type
Organization
Authorized Contact
DENNIS C MACIESKI
President
208-523-5172
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
MACIESKI CRNA PC
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2700
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Mailing Address
MACIESKI CRNA PC
PO BOX 3530
IDAHO FALLS, ID 83403-3530
Phone number: 208-523-4906
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