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1679622542
ELLEN M REYNOLDS
BOISE, ID
NPI
1679622542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: ID M-7833)
Enumeration Date
2007-01-09
Last Update Date
2012-09-04
Business Address
-- ELLEN M REYNOLDS MD
100 E IDAHO ST STE 300
BOISE, ID 83712-6267
Phone number: 208-381-7370
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Mailing Address
-- ELLEN M REYNOLDS MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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