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1356385132
SAMANTHA PORTENIER
CALDWELL, ID
NPI
1356385132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M7546)
Enumeration Date
2006-06-15
Last Update Date
2023-12-15
Business Address
SAMANTHA PORTENIER MD
315 E ELM ST STE 201
CALDWELL, ID 83605-4857
Phone number: 208-514-2528
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Mailing Address
SAMANTHA PORTENIER MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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