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1265454680
GARY CANOVA
BOISE, ID
NPI
1265454680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M4651)
Enumeration Date
2006-07-24
Last Update Date
2007-07-09
Business Address
Dr. GARY CANOVA MD
2993 N COLE RD
BOISE, ID 83704-5977
Phone number: 208-378-0400
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Mailing Address
Dr. GARY CANOVA MD
2993 N COLE RD
BOISE, ID 83704-5977
Phone number: 208-378-0400
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