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1114412731
VICTORY SURGICAL SERVICES PLLC
BOISE, ID
NPI
1114412731
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Entity Type
Organization
Authorized Contact
KERI L HINE
Administrator
208-321-4790
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2018-06-26
Last Update Date
2018-08-30
Business Address
VICTORY SURGICAL SERVICES PLLC
8854 W EMERALD ST STE 140
BOISE, ID 83704
Phone number: 208-321-4790
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Mailing Address
VICTORY SURGICAL SERVICES PLLC
8854 W EMERALD ST STE 140
BOISE, ID 83704-4845
Phone number: 208-321-4790
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