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1912691627
STEPHEN PHILIP GLOUDEMAN
POST FALLS, ID
NPI
1912691627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D5526)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
Dr. STEPHEN PHILIP GLOUDEMAN DMD
105 E 10TH AVE
POST FALLS, ID 83854-5125
Phone number: 208-773-8388
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Mailing Address
Dr. STEPHEN PHILIP GLOUDEMAN DMD
105 E 10TH AVE
POST FALLS, ID 83854-5125
Phone number: 208-773-8388
Copy
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