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1225176498
CRAIG W. BEAVER
BOISE, ID
NPI
1225176498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: ID PSY-173)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
CRAIG W. BEAVER PH.D.
250 BOBWHITE CT STE 220
BOISE, ID 83706-3983
Phone number: 208-336-2972
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Mailing Address
CRAIG W. BEAVER PH.D.
250 BOBWHITE CT STE 220
BOISE, ID 83706-3983
Phone number: 208-336-2972
Copy
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