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1114914512
DAVID R DONALDSON
POCATELLO, ID
NPI
1114914512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: ID TL3633)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
Dr. DAVID R DONALDSON MD
333 N 18TH AVE ST#B-3
POCATELLO, ID 83201-3358
Phone number: 208-232-2146
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Mailing Address
Dr. DAVID R DONALDSON MD
333 N 18TH AVE ST#B-3
POCATELLO, ID 83201-3358
Phone number: 208-232-2146
Copy
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