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1992853386
GEM STATE PEDIATRICS
MERIDIAN, ID
NPI
1992853386
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Entity Type
Organization
Authorized Contact
MARIO BRUS
Owner
208-706-5460
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID M5562)
Enumeration Date
2007-01-08
Last Update Date
2020-08-22
Business Address
GEM STATE PEDIATRICS
520 S EAGLE RD SUITE 1209
MERIDIAN, ID 83642-6308
Phone number: 208-706-5460
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Mailing Address
GEM STATE PEDIATRICS
520 S EAGLE RD SUITE 1209
MERIDIAN, ID 83642-6308
Phone number: 208-706-5460
Copy
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