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1336197870
SUSAN LEIGH BLOUGH
BOISE, ID
NPI
1336197870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M4556)
Enumeration Date
2006-05-05
Last Update Date
2011-01-07
Business Address
-- SUSAN LEIGH BLOUGH M.D.
701 E PARKCENTER BLVD
BOISE, ID 83706-6528
Phone number: 208-381-6400
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Mailing Address
-- SUSAN LEIGH BLOUGH M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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