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1811937592
JEROLD CANTOR
BOISE, ID
NPI
1811937592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID np158)
Enumeration Date
2006-06-08
Last Update Date
2007-07-09
Business Address
-- JEROLD CANTOR CFNP
801 N STILSON RD
BOISE, ID 83703
Phone number: 208-344-7799
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Mailing Address
-- JEROLD CANTOR CFNP
801 N STILSON RD
BOISE, ID 83703
Phone number: 208-344-7799
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