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1376976456
DUSTIN LEE ELBEN
LEWISTON, ID
NPI
1376976456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA-879A)
Enumeration Date
2013-08-13
Last Update Date
2013-08-13
Business Address
-- DUSTIN LEE ELBEN CRNA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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Mailing Address
-- DUSTIN LEE ELBEN CRNA
PO BOX 94743 MS 631052
SEATTLE, WA 98124-7043
Phone number: 253-274-1668
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