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1164063368
KIIRA VAZALES
BOISE, ID
NPI
1164063368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID PA1796)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
KIIRA VAZALES PA
8854 W EMERALD ST STE 102
BOISE, ID 83704-4845
Phone number: 208-323-4747
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Mailing Address
KIIRA VAZALES PA
8854 W EMERALD ST STE 102
BOISE, ID 83704-4845
Phone number: 208-323-4747
Copy
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