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1720776164
MOUNTAIN STATE BREAST & GENERAL SURGERY PLLC
BOISE, ID
NPI
1720776164
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Entity Type
Organization
Authorized Contact
RHIANA S MENEN
Owner
208-392-3354
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2023-04-25
Last Update Date
2024-01-18
Business Address
MOUNTAIN STATE BREAST & GENERAL SURGERY PLLC
1525 S OWYHEE ST
BOISE, ID 83705-6014
Phone number: 714-812-5711
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Mailing Address
MOUNTAIN STATE BREAST & GENERAL SURGERY PLLC
1525 S OWYHEE ST
BOISE, ID 83705-6014
Phone number: 208-392-3354
Copy
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