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1962939421
TRAVIS JON WEIMER
BOISE, ID
NPI
1962939421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-5092)
Enumeration Date
2017-05-16
Last Update Date
2020-01-04
Business Address
TRAVIS JON WEIMER DDS
8336 W NORTHVIEW ST
BOISE, ID 83704-7132
Phone number: 208-375-4544
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Mailing Address
TRAVIS JON WEIMER DDS
8336 W NORTHVIEW ST
BOISE, ID 83704-7132
Phone number: 208-375-4544
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