DALE DICKINSON

TWIN FALLS, ID
NPI1518030493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  N-17941)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
Mr. DALE DICKINSON CRNA
115 FALLS AVE W
TWIN FALLS, ID 83301-3115
Phone number: 208-733-1662
Mailing Address
Mr. DALE DICKINSON CRNA
PO BOX 3245
IDAHO FALLS, ID 83403-3245
Phone number: 208-525-2090
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