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1033554480
MARYALICE LOPEZ
BOISE, ID
NPI
1033554480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: ID M14437)
Enumeration Date
2013-04-29
Last Update Date
2018-12-17
Business Address
MARYALICE LOPEZ MD
333 N 1ST ST STE 240
BOISE, ID 83702-6132
Phone number: 208-338-8900
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Mailing Address
MARYALICE LOPEZ MD
333 N 1ST ST STE 240
BOISE, ID 83702-6132
Phone number: 208-338-8900
Copy
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