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1194773598
KIMBERLY R TANABE
EAGLE, ID
NPI
1194773598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M5831)
Enumeration Date
2006-05-05
Last Update Date
2012-08-21
Business Address
KIMBERLY R TANABE M.D.
3101 E STATE ST SUITE 2120
EAGLE, ID 83616-6232
Phone number: 208-473-3275
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Mailing Address
KIMBERLY R TANABE M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-8000
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