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1013964295
JEFFREY T SEABOURN
BOISE, ID
NPI
1013964295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M6973)
Enumeration Date
2006-05-31
Last Update Date
2011-10-13
Business Address
-- JEFFREY T SEABOURN M.D.
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2161
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Mailing Address
-- JEFFREY T SEABOURN M.D.
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8100
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