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1518978337
ALEJANDRO A HOMAECHEVARRIA
BOISE, ID
NPI
1518978337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: ID M-8320)
Enumeration Date
2006-08-10
Last Update Date
2013-10-30
Business Address
-- ALEJANDRO A HOMAECHEVARRIA MD
1109 W MYRTLE ST SUITE 200
BOISE, ID 83702-6970
Phone number: 208-383-0201
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Mailing Address
-- ALEJANDRO A HOMAECHEVARRIA MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-383-0201
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