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1902842271
TERRY J BUCCAMBUSO
TWIN FALLS, ID
NPI
1902842271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M6930)
Enumeration Date
2006-06-22
Last Update Date
2007-07-18
Business Address
-- TERRY J BUCCAMBUSO M.D.
260 FALLS AVE
TWIN FALLS, ID 83301-3370
Phone number: 208-737-2192
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Mailing Address
-- TERRY J BUCCAMBUSO M.D.
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8102
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