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1194174995
SKYLER SHANE SHIPPEN
POCATELLO, ID
NPI
1194174995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-1552)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
Dr. SKYLER SHANE SHIPPEN M.D.
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4696
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Mailing Address
Dr. SKYLER SHANE SHIPPEN M.D.
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4696
Copy
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