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1215462304
MIRANDA HOLWEGE
IDAHO FALLS, ID
NPI
1215462304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-1763)
Enumeration Date
2017-04-26
Last Update Date
2017-04-26
Business Address
-- MIRANDA HOLWEGE D.C.
203 N HOLMES AVE
IDAHO FALLS, ID 83401-2613
Phone number: 208-522-2591
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Mailing Address
-- MIRANDA HOLWEGE D.C.
1501 WAGON WHEEL DR APT 3
BLACKFOOT, ID 83221-3087
Phone number: 801-604-7785
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