CHRIS BLAINE

NAMPA, ID
NPI1952930109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  O-1870)
Enumeration Date2020-04-08
Last Update Date2023-12-08
Business Address
CHRIS BLAINE
12652 S AREZZO WAY
NAMPA, ID 83686-8276
Phone number: 208-709-5513
Mailing Address
CHRIS BLAINE
4300 E FLAMINGO AVE
NAMPA, ID 83687-3138
Phone number: 208-205-3013
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