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1184691602
IKE D TANABE
BOISE, ID
NPI
1184691602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: ID M5803)
Enumeration Date
2006-03-02
Last Update Date
2011-08-31
Business Address
Dr. IKE D TANABE M.D.
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
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Mailing Address
Dr. IKE D TANABE M.D.
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
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