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1144232869
DARREL L MOONEY
BOISE, ID
NPI
1144232869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: ID D1650PR)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
-- DARREL L MOONEY D.D.S. , F.A.C.P.
314 W BANNOCK ST
BOISE, ID 83702-6032
Phone number: 208-336-9333
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Mailing Address
-- DARREL L MOONEY D.D.S. , F.A.C.P.
314 W BANNOCK ST
BOISE, ID 83702-6032
Phone number: 208-336-9333
Copy
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