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1912387440
LUKE MATHER
BOISE, ID
NPI
1912387440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-1477)
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
-- LUKE MATHER MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
-- LUKE MATHER MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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