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1669662995
NATHAN GARY BOURASSA
POST FALLS, ID
NPI
1669662995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4076)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
Dr. NATHAN GARY BOURASSA DDS
105 E 10TH AVE STE B
POST FALLS, ID 83854-5125
Phone number: 208-773-8388
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Mailing Address
Dr. NATHAN GARY BOURASSA DDS
105 E 10TH AVE STE B
POST FALLS, ID 83854-5125
Phone number: 208-773-8388
Copy
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