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1275589905
CHRISTOPHER AL MORENO
LEWISTON, ID
NPI
1275589905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M5071)
Additional Taxonomies
208600000X Surgery
(Licence: WA MD00024021)
Enumeration Date
2006-05-25
Last Update Date
2007-09-20
Business Address
-- CHRISTOPHER AL MORENO M.D.
307 ST. JOHNS WAY SUITE 11
LEWISTON, ID 83501
Phone number: 208-743-7612
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Mailing Address
-- CHRISTOPHER AL MORENO M.D.
307 ST. JOHNS WAY SUITE 11
LEWISTON, ID 83501
Phone number: 208-743-7612
Copy
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