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1013981604
GLENN DAVID RYCH
MOSCOW, ID
NPI
1013981604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M4592)
Enumeration Date
2006-02-13
Last Update Date
2007-10-04
Business Address
-- GLENN DAVID RYCH MD
623 S MAIN ST
MOSCOW, ID 83843-2983
Phone number: 208-882-2011
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Mailing Address
-- GLENN DAVID RYCH MD
623 S MAIN ST
MOSCOW, ID 83843-2983
Phone number: 208-882-2011
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