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1205004215
SHANNA L CASE
BOISE, ID
NPI
1205004215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M10684)
Enumeration Date
2008-02-12
Last Update Date
2011-02-24
Business Address
-- SHANNA L CASE MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
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Mailing Address
-- SHANNA L CASE MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
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