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1255546537
LUKE ARTHUR WHALEN
HAILEY, ID
NPI
1255546537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D1485)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Dr. LUKE ARTHUR WHALEN DDS
116 W BULLION ST
HAILEY, ID 83333-8425
Phone number: 208-788-4507
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Mailing Address
Dr. LUKE ARTHUR WHALEN DDS
116 W BULLION ST
HAILEY, ID 83333-8425
Phone number: 208-788-4507
Copy
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