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1639341068
SHANE JAMES MCGONEGLE
BOISE, ID
NPI
1639341068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: ID M10653)
Enumeration Date
2008-03-26
Last Update Date
2010-02-18
Business Address
SHANE JAMES MCGONEGLE M.D.
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2161
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Mailing Address
SHANE JAMES MCGONEGLE M.D.
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8100
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