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1851612600
JUSTIN G SMITH
JEROME, ID
NPI
1851612600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-12489)
Enumeration Date
2010-06-16
Last Update Date
2014-09-05
Business Address
-- JUSTIN G SMITH MD
132 5TH AVE W SUITE 1
JEROME, ID 83338-1825
Phone number: 208-814-9800
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Mailing Address
-- JUSTIN G SMITH MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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