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1154976983
IDAHO EAR CLINIC LLC
MERIDIAN, ID
NPI
1154976983
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Entity Type
Organization
Authorized Contact
JAMES V CRAWFORD
Owner
208-938-5823
Organization Subpart ?
No
Primary Taxonomy
207YX0901X Otolaryngology, Otology & Neurotology
Enumeration Date
2019-08-08
Last Update Date
2022-05-19
Business Address
IDAHO EAR CLINIC LLC
1209 N SUMMERBROOK AVE
MERIDIAN, ID 83642-8749
Phone number: 208-938-5823
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Mailing Address
IDAHO EAR CLINIC LLC
1209 N SUMMERBROOK AVE STE 100
MERIDIAN, ID 83642-8750
Phone number: 208-938-5823
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