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1083931067
VICENTE JOSE UNDURRAGA PERL
BOISE, ID
NPI
1083931067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M-14232)
Enumeration Date
2010-04-29
Last Update Date
2018-09-13
Business Address
VICENTE JOSE UNDURRAGA PERL M.D.
999 N CURTIS ROAD STE 415
BOISE, ID 83706
Phone number: 208-302-2600
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Mailing Address
VICENTE JOSE UNDURRAGA PERL M.D.
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-302-2600
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