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1376747790
BOISE FAMILY MEDICINE CENTER
BOISE, ID
NPI
1376747790
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Entity Type
Organization
Authorized Contact
DALE L MOCK
Owner/Physician
208-377-3368
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-06-11
Last Update Date
2010-09-08
Business Address
BOISE FAMILY MEDICINE CENTER
10798 W. OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
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Mailing Address
BOISE FAMILY MEDICINE CENTER
10798 W. OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
Copy
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