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Individual

AMBER ALEXANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3326 N WHISTLER LN APT 201, BOISE, ID 83703-6235
(208) 571-8157
Mailing address
1540 E FAIRVIEW AVE, MERIDIAN, ID 83642-7827
(208) 571-8157

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MX070102
ID

Other

Enumeration date
03/17/2008
Last updated
03/17/2008
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