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1013031707
INDEPENDENCE, INC.
IDAHO FALLS, ID
NPI
1013031707
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Entity Type
Organization
Authorized Contact
DIANE ELAINE MOORE
Administrator
208-524-0881
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: ID 806911700)
Enumeration Date
2007-03-19
Last Update Date
2020-08-22
Business Address
INDEPENDENCE, INC.
1230 N SKYLINE DR STE. A
IDAHO FALLS, ID 83402-1720
Phone number: 208-524-0881
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Mailing Address
INDEPENDENCE, INC.
1230 N SKYLINE DR STE. A
IDAHO FALLS, ID 83402-1720
Phone number: 208-524-0881
Copy
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