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1760626584
CASEY LEE BURNS
MOUNTAIN HOME A F B, ID
NPI
1760626584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2009-04-23
Last Update Date
2009-04-23
Business Address
CASEY LEE BURNS IDMT
84 BOMBER RD 726TH AIR CONTROL SQUADRON
MOUNTAIN HOME A F B, ID 83648-5272
Phone number: 208-828-3604
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Mailing Address
CASEY LEE BURNS IDMT
84 BOMBER RD 726TH AIR CONTROL SQUADRON
MOUNTAIN HOME A F B, ID 83648-5272
Phone number: 208-828-3604
Copy
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