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1659919199
STEPHANIE MATTA
BOISE, ID
NPI
1659919199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835X0200X Pharmacist, Oncology
(Licence: ID P7853)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
STEPHANIE MATTA PharmD
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 812-223-7853
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Mailing Address
STEPHANIE MATTA PharmD
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 812-223-7853
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