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1265461198
CYNTHIA EDSTROM
BOISE, ID
NPI
1265461198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: ID M8632)
Enumeration Date
2006-07-02
Last Update Date
2007-07-08
Business Address
-- CYNTHIA EDSTROM MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
-- CYNTHIA EDSTROM MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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