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1750323226
QUINN A DEMORDAUNT
BOISE, ID
NPI
1750323226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M7776)
Enumeration Date
2006-06-11
Last Update Date
2007-07-08
Business Address
-- QUINN A DEMORDAUNT M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
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Mailing Address
-- QUINN A DEMORDAUNT M.D.
PO BOX 9696
BOISE, ID 83707-4696
Phone number: 208-472-8118
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