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1417268095
SHAWN G HEMENWAY
BOISE, ID
NPI
1417268095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID m11069)
Enumeration Date
2010-06-29
Last Update Date
2011-02-16
Business Address
-- SHAWN G HEMENWAY MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2645
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Mailing Address
-- SHAWN G HEMENWAY MD
190 E. BANNOCK ST.
BOISE, ID 83702
Phone number: 208-381-2222
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