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1912672312
ISRAEL AMANUEL
MERIDIAN, ID
NPI
1912672312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5325)
Enumeration Date
2021-08-09
Last Update Date
2021-08-09
Business Address
ISRAEL AMANUEL
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 208-373-1855
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Mailing Address
ISRAEL AMANUEL
5943 S RISING SUN WAY
BOISE, ID 83709-6577
Phone number:
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