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1831119270
THEODORE E LANGE
BOISE, ID
NPI
1831119270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: ID M-9049)
Enumeration Date
2006-07-20
Last Update Date
2022-04-19
Business Address
THEODORE E LANGE MD
500 W FORT ST. # 111
BOISE, ID 83702
Phone number: 208-422-1325
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Mailing Address
THEODORE E LANGE MD
500 W FORT ST. # 111
BOISE, ID 83702
Phone number: 208-422-1325
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