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1558300491
FRED W FENDER
MERIDIAN, ID
NPI
1558300491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M4500)
Enumeration Date
2006-06-06
Last Update Date
2016-11-10
Business Address
-- FRED W FENDER M.D.
3025 W CHERRY LANE
MERIDIAN, ID 83642
Phone number: 208-302-6400
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Mailing Address
-- FRED W FENDER M.D.
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-6400
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