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1225693666
AMMON ROBERTS
BOISE, ID
NPI
1225693666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRO-1840)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
AMMON ROBERTS DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
AMMON ROBERTS DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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