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1003002965
ELEANOR I EVANS
BOISE, ID
NPI
1003002965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4040)
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
ELEANOR I EVANS R.PH.
5005 W OVERLAND RD
BOISE, ID 83705-2633
Phone number: 208-389-1448
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Mailing Address
ELEANOR I EVANS R.PH.
5005 W OVERLAND RD
BOISE, ID 83705-2633
Phone number: 208-389-1448
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