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1366616716
THERESA WEILAND DO PA
BOISE, ID
NPI
1366616716
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Entity Type
Organization
Authorized Contact
STEVEN CSIK
Corp Secretary
208-333-8841
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-119)
Enumeration Date
2008-04-16
Last Update Date
2008-04-16
Business Address
THERESA WEILAND DO PA
222 N 2ND ST SUITE 201
BOISE, ID 83702-6109
Phone number: 208-345-7727
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Mailing Address
THERESA WEILAND DO PA
2245 TOLUKA WAY
BOISE, ID 83712-8552
Phone number:
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