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1700875093
TERRY B HALE
PLUMMER, ID
NPI
1700875093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D1639)
Enumeration Date
2005-10-19
Last Update Date
2007-07-08
Business Address
Mr. TERRY B HALE DDS
1115 B STREET
PLUMMER, ID 83851-0388
Phone number: 208-686-1931
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Mailing Address
Mr. TERRY B HALE DDS
12150 W KEATES DR
BOISE, ID 83709-7726
Phone number: 208-686-1110
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