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1487760740
TERRY M LITTLE
BOISE, ID
NPI
1487760740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-53)
Enumeration Date
2006-08-21
Last Update Date
2008-10-14
Business Address
-- TERRY M LITTLE D.O.
4750 N FIVE MILE RD
BOISE, ID 83713-2715
Phone number: 208-375-0500
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Mailing Address
-- TERRY M LITTLE D.O.
4750 N FIVE MILE RD
BOISE, ID 83713-2715
Phone number: 208-375-0500
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