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1083688030
BOB PHILLIP HEATON
IDAHO FALLS, ID
NPI
1083688030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA 369)
Enumeration Date
2006-02-15
Last Update Date
2014-01-24
Business Address
-- BOB PHILLIP HEATON DC
1320 S AMMON ROAD
IDAHO FALLS, ID 83406-5810
Phone number: 208-529-2084
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Mailing Address
-- BOB PHILLIP HEATON DC
1320 S. AMMON ROAD
IDAHO FALLS, ID 83406-5810
Phone number: 208-529-2084
Copy
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