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1013383645
ANN CORDUM PLLC
BOISE, ID
NPI
1013383645
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Entity Type
Organization
Authorized Contact
ANN ALEXANDRA CORDUM
Owner
208-994-8656
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M-7030)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
ANN CORDUM PLLC
203 W FORT ST
BOISE, ID 83702-4528
Phone number: 208-994-8656
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Mailing Address
ANN CORDUM PLLC
203 W FORT ST
BOISE, ID 83702-4528
Phone number: 208-994-8656
Copy
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