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1912112004
PAMELA A. POWELL
BOISE, ID
NPI
1912112004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D1819)
Enumeration Date
2007-05-11
Last Update Date
2008-07-24
Business Address
PAMELA A. POWELL DMD
120 N 23RD ST
BOISE, ID 83702-4940
Phone number: 208-344-2593
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Mailing Address
PAMELA A. POWELL DMD
120 N 23RD ST
BOISE, ID 83702-4940
Phone number: 208-344-2593
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