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1952051229
MICHAEL TRUJILLO
BOISE, ID
NPI
1952051229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID MRO-2130)
Enumeration Date
2022-03-28
Last Update Date
2022-08-02
Business Address
MICHAEL TRUJILLO
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
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Mailing Address
MICHAEL TRUJILLO
4169 W BEDROCK DR
MERIDIAN, ID 83646-1021
Phone number:
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