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1669584223
LARRY V DEWEY
BOISE, ID
NPI
1669584223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID M-4832)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- LARRY V DEWEY M.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
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Mailing Address
-- LARRY V DEWEY M.D.
326 S GRANITE WAY
BOISE, ID 83712-8450
Phone number: 208-343-8405
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