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1649208901
LYNN REED BLAISDELL
BOISE, ID
NPI
1649208901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D1697)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
DR. LYNN REED BLAISDELL DDS
8877 W HACKAMORE DR
BOISE, ID 83709-1671
Phone number: 208-377-9696
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Mailing Address
DR. LYNN REED BLAISDELL DDS
5170 DECATUR DR
BOISE, ID 83704-2225
Phone number:
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