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1376211268
KEYSTONE CENTER FOR GERIATRICS LLC
BOISE, ID
NPI
1376211268
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Entity Type
Organization
Authorized Contact
LEONARD RICHARD JENSEN
Owner
208-514-0670
Organization Subpart ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date
2021-09-03
Last Update Date
2021-09-03
Business Address
KEYSTONE CENTER FOR GERIATRICS LLC
305 W BANNOCK ST
BOISE, ID 83702-6033
Phone number: 208-514-0670
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Mailing Address
KEYSTONE CENTER FOR GERIATRICS LLC
305 W BANNOCK ST
BOISE, ID 83702-6033
Phone number: 208-514-0670
Copy
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