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1497306930
CHANINE ANGELINA DEFENSOR
BOISE, ID
NPI
1497306930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CO PHA.0022924)
Enumeration Date
2019-09-26
Last Update Date
2023-06-20
Business Address
DR. CHANINE ANGELINA DEFENSOR PHARMD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1145
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Mailing Address
DR. CHANINE ANGELINA DEFENSOR PHARMD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1145
Copy
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