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1083800015
LAKE HARBOR INTERNAL MEDICINE
BOISE, ID
NPI
1083800015
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Entity Type
Organization
Authorized Contact
KERILYNN ERLAND
Owner
208-853-4556
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
LAKE HARBOR INTERNAL MEDICINE
3684 N HARBOR LN
BOISE, ID 83703-6914
Phone number: 208-853-4556
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Mailing Address
LAKE HARBOR INTERNAL MEDICINE
3684 N HARBOR LN
BOISE, ID 83703-6914
Phone number: 208-853-4556
Copy
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