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1780626358
ANGELA DAWN PELLANT
BOISE, ID
NPI
1780626358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M9431)
Enumeration Date
2006-06-11
Last Update Date
2012-08-19
Business Address
-- ANGELA DAWN PELLANT MD
12080 MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-375-4955
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Mailing Address
-- ANGELA DAWN PELLANT MD
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-375-4955
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