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1518968841
MOUSOOMI M. SUR
BOISE, ID
NPI
1518968841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-9645)
Enumeration Date
2005-08-09
Last Update Date
2012-09-15
Business Address
Ms. MOUSOOMI M. SUR MD
2083 E HOSPITALITY LN
BOISE, ID 83716-6603
Phone number: 208-333-8345
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Mailing Address
Ms. MOUSOOMI M. SUR MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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