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1457938292
KENNETH THARP
BOISE, ID
NPI
1457938292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
KENNETH THARP MD
500 W FORT ST # 111R
BOISE, ID 83702-4501
Phone number: 208-422-1314
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Mailing Address
KENNETH THARP MD
500 W FORT ST # 111R
BOISE, ID 83702-4501
Phone number: 208-422-1314
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