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1528019460
ROBERT M CENTENO
BOISE, ID
NPI
1528019460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ID M8375)
Enumeration Date
2006-05-15
Last Update Date
2007-07-08
Business Address
-- ROBERT M CENTENO MD
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
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Mailing Address
-- ROBERT M CENTENO MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-336-0895
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