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1073378808
IDEAL OPTION, PLLC
SANDPOINT, ID
NPI
1073378808
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Entity Type
Organization
Authorized Contact
SHANNON MARIE BOWDEN
Credentialing Manager
509-570-9302
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
IDEAL OPTION, PLLC
2101 PINE ST
SANDPOINT, ID 83864-9327
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION, PLLC
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 877-522-1275
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