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1922311042
AMBER VANIA
BOISE, ID
NPI
1922311042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O0755)
Enumeration Date
2010-07-18
Last Update Date
2015-10-08
Business Address
AMBER VANIA DO
4971 W. OVERLAND ROAD
BOISE, ID 83705
Phone number: 208-472-5050
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Mailing Address
AMBER VANIA DO
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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