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1811022056
BRIAN WADE CHRISTENSEN
REXBURG, ID
NPI
1811022056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: ID M7414)
Enumeration Date
2007-02-21
Last Update Date
2007-07-09
Business Address
Dr. BRIAN WADE CHRISTENSEN M.D.
20 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-2058
Phone number: 208-656-9008
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Mailing Address
Dr. BRIAN WADE CHRISTENSEN M.D.
20 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-2058
Phone number: 208-656-9008
Copy
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