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1033229471
CHARLENE MARIE DEHAVEN
SANDPOINT, ID
NPI
1033229471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ID M8054)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. CHARLENE MARIE DEHAVEN M.D.
520 N 3RD AVE
SANDPOINT, ID 83864-1507
Phone number: 208-265-1180
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Mailing Address
Dr. CHARLENE MARIE DEHAVEN M.D.
520 N 3RD AVE
SANDPOINT, ID 83864-1507
Phone number: 208-265-1180
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