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1386795565
CELSO R CHAVEZ
LEWISTON, ID
NPI
1386795565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M5480)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
-- CELSO R CHAVEZ MD
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
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Mailing Address
-- CELSO R CHAVEZ MD
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
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