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1275504300
CORNELIUS PAUL BROOKE
IDAHO FALLS, ID
NPI
1275504300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: ID 5809M)
Enumeration Date
2006-01-27
Last Update Date
2016-07-05
Business Address
CORNELIUS PAUL BROOKE MD
2001 S WOODRUFF AVE STE 12A
IDAHO FALLS, ID 83404-6374
Phone number: 208-522-8945
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Mailing Address
CORNELIUS PAUL BROOKE MD
2001 S WOODRUFF AVE STE 12A
IDAHO FALLS, ID 83404-6374
Phone number: 208-522-8945
Copy
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