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1083284897
SCOTT PERKINS
POCATELLO, ID
NPI
1083284897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5268)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
SCOTT PERKINS
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
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Mailing Address
SCOTT PERKINS
4170 HAWTHORNE RD APT C306
CHUBBUCK, ID 83202-2891
Phone number: 612-750-0107
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