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1710941026
JON MOORE AGEE
CALDWELL, ID
NPI
1710941026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M-5972)
Enumeration Date
2006-04-13
Last Update Date
2022-01-25
Business Address
-- JON MOORE AGEE M.D.
404 E ELM ST
CALDWELL, ID 83605-4846
Phone number: 208-459-0028
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Mailing Address
-- JON MOORE AGEE M.D.
PO BOX 742941
ATLANTA, GA 30374-2941
Phone number:
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