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1629451109
KEVEN FREEMAN
CALDWELL, ID
NPI
1629451109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D-4834)
Enumeration Date
2015-07-02
Last Update Date
2022-07-21
Business Address
KEVEN FREEMAN DMD
616 S 10TH AVE
CALDWELL, ID 83605-4112
Phone number: 208-454-0473
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Mailing Address
KEVEN FREEMAN DMD
616 S 10TH AVE
CALDWELL, ID 83605-4112
Phone number: 208-454-0473
Copy
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