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1134169501
STANLEY MOGELSON
TWIN FALLS, ID
NPI
1134169501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ID M6806)
Enumeration Date
2006-06-07
Last Update Date
2008-04-14
Business Address
-- STANLEY MOGELSON M.D.
660 SHOSHONE ST E SUITE 110
TWIN FALLS, ID 83301-6110
Phone number: 208-732-3380
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Mailing Address
-- STANLEY MOGELSON M.D.
660 SHOSHONE ST E SUITE 110
TWIN FALLS, ID 83301-6110
Phone number: 208-732-3380
Copy
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