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1467419150
MATTHEW DAVID DETEMPLE
BURLEY, ID
NPI
1467419150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-339)
Enumeration Date
2006-04-27
Last Update Date
2024-11-05
Business Address
MATTHEW DAVID DETEMPLE D.O.
1309 BENNETT AVE
BURLEY, ID 83318-2676
Phone number: 208-678-7796
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Mailing Address
MATTHEW DAVID DETEMPLE D.O.
1309 BENNETT AVE
BURLEY, ID 83318-2676
Phone number: 208-678-7796
Copy
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