ROBERT BLACKSTON

COEUR D ALENE, ID
NPI1770641193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: ID  143020)
Enumeration Date2006-12-05
Last Update Date2018-04-26
Business Address
ROBERT BLACKSTON CST, CSFA
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
Mailing Address
ROBERT BLACKSTON CST, CSFA
4768 W PRINCETOWN LN
COEUR D ALENE, ID 83815-5215
Phone number: 208-961-1151
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