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1023498920
MAIN FAMILY MEDICAL
BOISE, ID
NPI
1023498920
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Entity Type
Organization
Authorized Contact
DAVID GEE
Owner
208-336-7722
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-6062)
Enumeration Date
2015-06-05
Last Update Date
2015-06-11
Business Address
MAIN FAMILY MEDICAL
203 W MAIN ST
BOISE, ID 83702-7263
Phone number: 208-336-7722
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Mailing Address
MAIN FAMILY MEDICAL
203 W MAIN ST
BOISE, ID 83702-7263
Phone number: 208-336-7722
Copy
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