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1538486923
CARISSA PEREDA
BOISE, ID
NPI
1538486923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID 1387)
Enumeration Date
2010-04-26
Last Update Date
2013-08-02
Business Address
-- CARISSA PEREDA M.D.
500 W FORT ST #111
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
-- CARISSA PEREDA M.D.
500 W FORT ST #111
BOISE, ID 83702-4501
Phone number: 208-422-1000
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