CASEY LEE BURNS

MOUNTAIN HOME A F B, ID
NPI1760626584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-04-23
Last Update Date2009-04-23
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
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