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1972545465
KATHLEEN M SCANLAN
BOISE, ID
NPI
1972545465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M7309)
Enumeration Date
2006-06-11
Last Update Date
2008-12-31
Business Address
-- KATHLEEN M SCANLAN MD
12273 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-367-6330
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Mailing Address
-- KATHLEEN M SCANLAN MD
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-5189
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