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1598811945
IDAHO UROLOGY CLINIC, P.A.
NAMPA, ID
NPI
1598811945
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Entity Type
Organization
Authorized Contact
WILFRED E WATKINS
Owner
208-466-2461
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: ID M2768)
Enumeration Date
2007-01-26
Last Update Date
2010-11-09
Business Address
IDAHO UROLOGY CLINIC, P.A.
1613 12TH AVE RD STE B
NAMPA, ID 83686-6183
Phone number: 208-466-2461
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Mailing Address
IDAHO UROLOGY CLINIC, P.A.
1613 12TH AVE RD STE B
NAMPA, ID 83686-6183
Phone number: 208-466-2461
Copy
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