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1629540422
MARIA G. RIVERA
BURLEY, ID
NPI
1629540422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID 60189)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
MARIA G. RIVERA
1501 HILAND AVE
BURLEY, ID 83318-2688
Phone number: 208-677-6212
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Mailing Address
MARIA G. RIVERA
1501 HILAND AVE
BURLEY, ID 83318-2688
Phone number: 208-678-4444
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