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1053566109
RUSSELL ANDREW MCCANN
BOISE, ID
NPI
1053566109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY60317242)
Enumeration Date
2008-11-17
Last Update Date
2023-08-30
Business Address
Dr. RUSSELL ANDREW MCCANN
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
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Mailing Address
Dr. RUSSELL ANDREW MCCANN
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
Copy
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