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1134227945
WADE HARRIS
CALDWELL, ID
NPI
1134227945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: ID TL-3792)
Enumeration Date
2006-09-20
Last Update Date
2007-08-08
Business Address
WADE HARRIS MD
211 E LOGAN ST STE 201
CALDWELL, ID 83605-4882
Phone number: 208-454-0567
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Mailing Address
WADE HARRIS MD
211 E LOGAN ST STE 201
CALDWELL, ID 83605-4882
Phone number: 208-454-0567
Copy
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