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1770679243
CARL FREEMAN WURSTER
BOISE, ID
NPI
1770679243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ID M-4925)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Mr. CARL FREEMAN WURSTER M.D,F.A.C.S.,F.I.C.S
2316 N COLE RD STE. B
BOISE, ID 83704
Phone number: 208-345-6949
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Mailing Address
Mr. CARL FREEMAN WURSTER M.D,F.A.C.S.,F.I.C.S
2316 N COLE RD STE. B
BOISE, ID 83704
Phone number: 208-345-6949
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