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1194838540
ERIN LEAVITT
LEWISTON, ID
NPI
1194838540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D-1971)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
DR. ERIN LEAVITT
3326 4TH ST SUITE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
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Mailing Address
DR. ERIN LEAVITT
3326 4TH ST SUITE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
Copy
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