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1831285857
BOISE BASIN INFERTILITY & GYNECOLOGY, P.A.
BOISE, ID
NPI
1831285857
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Entity Type
Organization
Authorized Contact
PHILIP M KRUEGER
President
208-345-2006
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: ID M-3549)
Enumeration Date
2006-10-05
Last Update Date
2008-05-15
Business Address
BOISE BASIN INFERTILITY & GYNECOLOGY, P.A.
811 N 6TH ST
BOISE, ID 83702-5545
Phone number: 208-345-2006
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Mailing Address
BOISE BASIN INFERTILITY & GYNECOLOGY, P.A.
811 N 6TH ST
BOISE, ID 83702-5545
Phone number: 208-345-2006
Copy
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