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1184375867
IDAHO SKIN INSTITUTE OF CHUBBUCK
CHUBBUCK, ID
NPI
1184375867
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Entity Type
Organization
Authorized Contact
EARL STODDARD
Owner
208-238-7546
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2022-01-13
Last Update Date
2024-11-14
Business Address
IDAHO SKIN INSTITUTE OF CHUBBUCK
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone number: 208-238-7546
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Mailing Address
IDAHO SKIN INSTITUTE OF CHUBBUCK
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone number: 208-238-7546
Copy
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