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1366824484
KIP T KATSEANES
BOISE, ID
NPI
1366824484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D5185PE)
Enumeration Date
2015-06-25
Last Update Date
2020-09-15
Business Address
Dr. KIP T KATSEANES DMD MSD
6019 N EAGLE RD
BOISE, ID 83713
Phone number: 208-377-2777
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Mailing Address
Dr. KIP T KATSEANES DMD MSD
6019 N EAGLE RD
BOISE, ID 83713
Phone number: 208-377-2777
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