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1184780694
KELLY PAGE PALMER
BLACKFOOT, ID
NPI
1184780694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: ID O-144)
Enumeration Date
2006-12-29
Last Update Date
2012-08-14
Business Address
Dr. KELLY PAGE PALMER D.O.
700 EAST ALICE STREET
BLACKFOOT, ID 83221-0400
Phone number: 208-785-8517
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Mailing Address
Dr. KELLY PAGE PALMER D.O.
PO BOX 400 700 EAST ALICE
BLACKFOOT, ID 83221-0400
Phone number: 208-785-8517
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