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Individual
DARREN J KLASSEN
Active
Individual
DARREN J KLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA945
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1668986
MEDICARE IDAHO PTAN
ID
05
—
1861779829
—
ID
Enumeration date
11/04/2011
Last updated
12/27/2012
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