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1760812135
MARK CUSHING
CALDWELL, ID
NPI
1760812135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-3025)
Enumeration Date
2013-11-20
Last Update Date
2013-11-20
Business Address
-- MARK CUSHING DDS
15753 YODER AVE
CALDWELL, ID 83607-8313
Phone number: 208-989-9500
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Mailing Address
-- MARK CUSHING DDS
15753 YODER AVE
CALDWELL, ID 83607
Phone number: 208-989-9500
Copy
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