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1124072251
TRACEY L BUSBY
KETCHUM, ID
NPI
1124072251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M7014)
Enumeration Date
2006-05-22
Last Update Date
2013-07-30
Business Address
-- TRACEY L BUSBY M.D.
100 HOSPITAL DRIVE SUITE 105
KETCHUM, ID 83340-0000
Phone number: 208-622-8811
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Mailing Address
-- TRACEY L BUSBY M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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