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1710261672
BENJAMIN M. TAYLOR
MERIDIAN, ID
NPI
1710261672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1115A)
Enumeration Date
2011-10-10
Last Update Date
2012-09-15
Business Address
-- BENJAMIN M. TAYLOR NP
520 S EAGLE RD SUITE 2204
MERIDIAN, ID 83642-6351
Phone number: 208-381-6196
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Mailing Address
-- BENJAMIN M. TAYLOR NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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