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1417268574
MARTHA CLINTON WILSON
NAMPA, ID
NPI
1417268574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-1127)
Enumeration Date
2010-06-23
Last Update Date
2015-11-12
Business Address
-- MARTHA CLINTON WILSON MD
207 1ST ST S
NAMPA, ID 83651-3703
Phone number: 208-466-7869
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Mailing Address
-- MARTHA CLINTON WILSON MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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