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1285658302
BLAKE LOUIS HOWARD
BOISE, ID
NPI
1285658302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: ID CHIA-1166)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. BLAKE LOUIS HOWARD D.C.
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713-1067
Phone number: 208-658-8326
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Mailing Address
Dr. BLAKE LOUIS HOWARD D.C.
5658 BLOOM ST
BOISE, ID 83703-3463
Phone number:
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