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1407826167
PHILLIP C AGRUSA
MERIDIAN, ID
NPI
1407826167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA M7716)
Enumeration Date
2006-01-25
Last Update Date
2013-01-15
Business Address
PHILLIP C AGRUSA MD
3520 E. LOUISE DR
MERIDIAN, ID 83642
Phone number: 208-955-0350
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Mailing Address
PHILLIP C AGRUSA MD
3520 E. LOUISE DR
MERIDIAN, ID 83642
Phone number: 208-955-0350
Copy
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