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1720193410
DAVID H SIMON
BOISE, ID
NPI
1720193410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA267)
Enumeration Date
2006-08-20
Last Update Date
2007-07-09
Business Address
DAVID H SIMON CRNA
1425 W RIVER ST
BOISE, ID 83702-6861
Phone number: 208-342-2087
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Mailing Address
DAVID H SIMON CRNA
1605 S KIMBALL AVE SUITE 205
CALDWELL, ID 83605-4548
Phone number: 208-455-1400
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