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1578588364
BRADEN M STAUTS
BOISE, ID
NPI
1578588364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist Prosthodontics
(Licence: ID D-2083-PR)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
DR. BRADEN M STAUTS DDS
1000 N CURTIS RD SUITE 203
BOISE, ID 83706-1337
Phone number: 208-376-0567
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Mailing Address
DR. BRADEN M STAUTS DDS
1000 N CURTIS RD SUITE 203
BOISE, ID 83706-1337
Phone number: 208-376-0567
Copy
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