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1386680650
DAN LYLE CHRISTEN
BOISE, ID
NPI
1386680650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA-516a)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
-- DAN LYLE CHRISTEN CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0028
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Mailing Address
-- DAN LYLE CHRISTEN CRNA
5953 N PARCHMENT PL
BOISE, ID 83713-1225
Phone number: 208-938-1584
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OVERTON-STIFF PROFESSIONAL ANESTHESIA SERVICE LTD