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1124319421
ALICIA ANDREA CARRASCO
BOISE, ID
NPI
1124319421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M-13613)
Enumeration Date
2011-04-21
Last Update Date
2022-02-17
Business Address
ALICIA ANDREA CARRASCO MD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
ALICIA ANDREA CARRASCO MD
500 W FORT ST # 111
BOISE, ID 83702-4501
Phone number: 208-422-1000
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