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1649392200
FAMILY PRACTICE MEDICAL
BOISE, ID
NPI
1649392200
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Entity Type
Organization
Authorized Contact
TOM C AHLRICHS
Social Worker
208-367-6030
Organization Subpart ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LCSW-24633)
Enumeration Date
2007-04-04
Last Update Date
2020-08-22
Business Address
FAMILY PRACTICE MEDICAL
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-367-6030
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Mailing Address
FAMILY PRACTICE MEDICAL
6318 BERMUDA DR
BOISE, ID 83709-1009
Phone number: 208-378-0070
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