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1952984973
CHRISTIAN BEAUREGARD
POCATELLO, ID
NPI
1952984973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID 1161576)
Enumeration Date
2021-04-29
Last Update Date
2024-09-16
Business Address
Dr. CHRISTIAN BEAUREGARD DO
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1000
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Mailing Address
Dr. CHRISTIAN BEAUREGARD DO
1 NORTH ST APT 1R
PORTLAND, ME 04101-2742
Phone number: 207-491-6163
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