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1336295930
INGRID SC LUNDGREN
BOISE, ID
NPI
1336295930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: ID M11411)
Enumeration Date
2007-01-26
Last Update Date
2012-09-18
Business Address
-- INGRID SC LUNDGREN MD
100 E IDAHO ST STE 200
BOISE, ID 83712-6267
Phone number: 208-381-7330
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Mailing Address
-- INGRID SC LUNDGREN MD
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
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