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1114600277
IDAHORMONES
MERIDIAN, ID
NPI
1114600277
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Entity Type
Organization
Authorized Contact
JAMIE RUIZ
Owner
208-874-2394
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
IDAHORMONES
3648 N CENTREPOINT WAY STE 110
MERIDIAN, ID 83646-7626
Phone number: 208-874-2394
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Mailing Address
IDAHORMONES
4954 W GREY TOWERS DR
MERIDIAN, ID 83642-9281
Phone number: 208-874-2394
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