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1437576584
ANDREA ELISABETH PRASCH
MERIDIAN, ID
NPI
1437576584
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Former Name
ANDREA WALLING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: ID M-13728)
Enumeration Date
2014-03-26
Last Update Date
2017-08-24
Business Address
-- ANDREA ELISABETH PRASCH MD
1620 S CELEBRATION AVE
MERIDIAN, ID 83642-2779
Phone number: 208-884-1030
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Mailing Address
-- ANDREA ELISABETH PRASCH MD
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
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