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1194798397
TETON OPEN MRI OF POCATELLO, LLC
POCATELLO, ID
NPI
1194798397
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Entity Type
Organization
Authorized Contact
BONNIE C GRAY
Administrative Assistant
208-552-0828
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2006-02-08
Last Update Date
2020-08-22
Business Address
TETON OPEN MRI OF POCATELLO, LLC
246 N 18TH AVE
POCATELLO, ID 83201-3356
Phone number: 208-552-0828
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Mailing Address
TETON OPEN MRI OF POCATELLO, LLC
246 N 18TH AVE
POCATELLO, ID 83201-3356
Phone number: 208-552-0828
Copy
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