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1144339326
KIRT BRUCE HILLAM
IDAHO FALLS, ID
NPI
1144339326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-2033)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
DR. KIRT BRUCE HILLAM DDS
139 ALTURAS ST
IDAHO FALLS, ID 83401-4309
Phone number: 208-523-5090
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Mailing Address
DR. KIRT BRUCE HILLAM DDS
139 ALTURAS ST
IDAHO FALLS, ID 83401-4309
Phone number: 208-523-5090
Copy
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