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1205193760
ANTHONY DINALLO
BOISE, ID
NPI
1205193760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: ID M-15847)
Additional Taxonomies
208600000X Surgery
(Licence: FL ME137221)
Enumeration Date
2012-04-20
Last Update Date
2024-01-16
Business Address
ANTHONY DINALLO
1072 N LIBERTY ST STE 201
BOISE, ID 83704-8708
Phone number: 208-302-2400
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Mailing Address
ANTHONY DINALLO
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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