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1215581087
AURORA MEDICAL
POCATELLO, ID
NPI
1215581087
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Entity Type
Organization
Authorized Contact
TRAVIS WILLIAMS
Owner
208-251-9985
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-07-30
Last Update Date
2020-04-02
Business Address
AURORA MEDICAL
348 W CLARK ST
POCATELLO, ID 83204-3148
Phone number: 208-242-3376
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Mailing Address
AURORA MEDICAL
348 W CLARK ST
POCATELLO, ID 83204-3148
Phone number: 208-242-3376
Copy
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