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1669532230
BO CROFOOT
REXBURG, ID
NPI
1669532230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3817)
Enumeration Date
2006-12-12
Last Update Date
2024-01-02
Business Address
Dr. BO CROFOOT DDS
44 S CENTER ST
REXBURG, ID 83440-1916
Phone number: 208-356-4240
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Mailing Address
Dr. BO CROFOOT DDS
44 S CENTER ST
REXBURG, ID 83440-1916
Phone number: 208-356-4240
Copy
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