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1457370686
RUSSELL FULLER MCKINLEY
BOISE, ID
NPI
1457370686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D1869)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- RUSSELL FULLER MCKINLEY DDS
2600 ROSE HILL STE 100
BOISE, ID 83705
Phone number: 208-345-1386
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Mailing Address
-- RUSSELL FULLER MCKINLEY DDS
2600 ROSE HILL STE 100
BOISE, ID 83705
Phone number: 208-345-1386
Copy
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