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1912968892
ANN PENDLETON BEACH
BOISE, ID
NPI
1912968892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M7794)
Enumeration Date
2006-03-30
Last Update Date
2011-02-01
Business Address
-- ANN PENDLETON BEACH MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
-- ANN PENDLETON BEACH MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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