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1396431557
BLAKE ALAN ALTENHOFEN
IOWA CITY, IA
NPI
1396431557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA 146724)
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
BLAKE ALAN ALTENHOFEN
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 712-260-2684
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Mailing Address
BLAKE ALAN ALTENHOFEN
811 E COLLEGE ST APT 1-1
IOWA CITY, IA 52240-5131
Phone number: 712-260-2684
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