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1023132420
ERIC A SIMMONS
BOISE, ID
NPI
1023132420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID 0-300)
Enumeration Date
2007-03-19
Last Update Date
2008-05-09
Business Address
-- ERIC A SIMMONS DO
335 ALLUMBAUGH ST
BOISE, ID 83704-9208
Phone number: 208-376-1611
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Mailing Address
-- ERIC A SIMMONS DO
PO BOX 4656
BOISE, ID 83711-4656
Phone number: 208-376-1611
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