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1659547784
NATE SKOUSEN
BOISE, ID
NPI
1659547784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D4019)
Enumeration Date
2008-05-08
Last Update Date
2011-05-10
Business Address
NATE SKOUSEN DMD
4251 N BUCKBOARD WAY
BOISE, ID 83713-2720
Phone number: 208-375-3755
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Mailing Address
NATE SKOUSEN DMD
4251 N BUCKBOARD WAY
BOISE, ID 83713-2720
Phone number: 208-375-3755
Copy
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