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Individual

DR. LINDA JEAN RUPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
7669 EMERALD ST, BOISE, ID 83704-9018
(208) 377-5523
(208) 377-0352
Mailing address
7669 EMERALD ST, BOISE, ID 83704-9018
(208) 377-5523
(208) 377-0352

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D2032PR
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66D2032
ID
Enumeration date
08/11/2006
Last updated
07/08/2007
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