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1134231608
MICHAEL GARRETT TALLMAN
BOISE, ID
NPI
1134231608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20010271A)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL GARRETT TALLMAN psy.d
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
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Mailing Address
Dr. MICHAEL GARRETT TALLMAN psy.d
812 PENNSYLVANIA DR
BOISE, ID 83706-4467
Phone number: 208-422-1108
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