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1073043337
MARC ALLAN
TWIN FALLS, ID
NPI
1073043337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-1180)
Enumeration Date
2017-06-19
Last Update Date
2024-01-11
Business Address
MARC ALLAN DO
512 POLE LINE RD STE 2
TWIN FALLS, ID 83301-6367
Phone number: 208-735-3636
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Mailing Address
MARC ALLAN DO
512 POLE LINE RD STE 2
TWIN FALLS, ID 83301-6367
Phone number: 208-735-3636
Copy
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