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1114571726
SAMUEL WADE CROFT
IDAHO FALLS, ID
NPI
1114571726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-2241)
Enumeration Date
2019-07-31
Last Update Date
2023-04-03
Business Address
Dr. SAMUEL WADE CROFT DC
661 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5596
Phone number: 208-569-9450
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Mailing Address
Dr. SAMUEL WADE CROFT DC
238 N 3800 E
RIGBY, ID 83442-5457
Phone number: 208-821-2825
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