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1184919607
LANCE RONALD WEHRLE
BLACKFOOT, ID
NPI
1184919607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID O-0802)
Enumeration Date
2011-06-13
Last Update Date
2014-07-14
Business Address
Mr. LANCE RONALD WEHRLE D.O.
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-3838
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Mailing Address
Mr. LANCE RONALD WEHRLE D.O.
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-3838
Copy
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