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1164861340
MELISSA KJOS
POCATELLO, ID
NPI
1164861340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-1348)
Enumeration Date
2013-06-20
Last Update Date
2013-06-20
Business Address
-- MELISSA KJOS M.D.
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4700
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Mailing Address
-- MELISSA KJOS M.D.
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-251-5838
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