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1740362797
BRENDA L HATCH
BLACKFOOT, ID
NPI
1740362797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA534)
Enumeration Date
2006-10-19
Last Update Date
2007-12-21
Business Address
-- BRENDA L HATCH CRNA
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
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Mailing Address
-- BRENDA L HATCH CRNA
PO BOX 829
BLACKFOOT, ID 83221-0829
Phone number: 208-523-4906
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