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1215948351
DALE L MOCK
BOISE, ID
NPI
1215948351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M3211)
Enumeration Date
2006-08-11
Last Update Date
2010-09-10
Business Address
-- DALE L MOCK MD
10798 W. OVERLAND RD BOISE FAMILY MEDICINE CENTER
BOISE, ID 83709-1329
Phone number: 208-377-3368
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Mailing Address
-- DALE L MOCK MD
10798 W. OVERLAND RD BOISE FAMILY MEDICINE CENTER
BOISE, ID 83709-1329
Phone number: 208-377-3368
Copy
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