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1538402144
CYNTHIA FOUNTAIN
BOISE, ID
NPI
1538402144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: ID M-15042)
Enumeration Date
2013-04-02
Last Update Date
2020-11-16
Business Address
CYNTHIA FOUNTAIN
100 E IDAHO ST STE 302
BOISE, ID 83712
Phone number: 208-343-7501
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Mailing Address
CYNTHIA FOUNTAIN
100 E IDAHO ST STE 302
BOISE, ID 83712-6269
Phone number:
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