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1942239264
RANDALL L BENEDICT
BOISE, ID
NPI
1942239264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: ID P133)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Dr. RANDALL L BENEDICT DPM
809 N LIBERTY ST
BOISE, ID 83704-8703
Phone number: 208-327-0627
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Mailing Address
Dr. RANDALL L BENEDICT DPM
809 N LIBERTY ST
BOISE, ID 83704-8703
Phone number: 208-327-0627
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