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1306836077
DONALD J KONRAD
RUPERT, ID
NPI
1306836077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O154)
Enumeration Date
2005-10-25
Last Update Date
2012-01-06
Business Address
Dr. DONALD J KONRAD D.O.
1224 8TH ST
RUPERT, ID 83350-1527
Phone number: 208-436-5266
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Mailing Address
Dr. DONALD J KONRAD D.O.
1224 8TH ST
RUPERT, ID 83350-1527
Phone number: 208-436-5266
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