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1710980537
CHRISTOPHER J SOURS
BOISE, ID
NPI
1710980537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA-378)
Enumeration Date
2005-05-24
Last Update Date
2007-07-08
Business Address
-- CHRISTOPHER J SOURS CRNA
501 W FORT ST
BOISE, ID 83702-4502
Phone number: 208-422-1000
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Mailing Address
-- CHRISTOPHER J SOURS CRNA
713 W HIGHLAND VIEW DR
BOISE, ID 83702-1323
Phone number: 208-422-1000
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