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1124710009
GREENE MOUNTAIN MEDICAL
NAMPA, ID
NPI
1124710009
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Entity Type
Organization
Authorized Contact
AIMEE ELIZABETH SHEPARD
Owner
208-695-0388
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-05-22
Last Update Date
2023-07-05
Business Address
GREENE MOUNTAIN MEDICAL
3719 WHEELER CIR
NAMPA, ID 83686-7949
Phone number: 208-695-0388
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Mailing Address
GREENE MOUNTAIN MEDICAL
3719 WHEELER CIR
NAMPA, ID 83686-7949
Phone number: 208-695-0388
Copy
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