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1174187587
MARK DAHLE
RUPERT, ID
NPI
1174187587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-1816)
Enumeration Date
2019-05-01
Last Update Date
2023-08-25
Business Address
MARK DAHLE MD
1308 8TH ST STE 1
RUPERT, ID 83350-1535
Phone number: 208-436-4322
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Mailing Address
MARK DAHLE MD
1224 8TH STREET
RUPERT, ID 83350-1527
Phone number: 208-434-8236
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