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1528453552
LAURA TEDRICK
BOISE, ID
NPI
1528453552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: ID M-14695)
Enumeration Date
2015-04-06
Last Update Date
2024-03-20
Business Address
Dr. LAURA TEDRICK M.D.
1072 N LIBERTY ST STE 100
BOISE, ID 83704-8708
Phone number: 208-302-1200
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Mailing Address
Dr. LAURA TEDRICK M.D.
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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