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1215716998
STEELE LAKE SPECIALTY PLLC
IDAHO FALLS, ID
NPI
1215716998
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Entity Type
Organization
Authorized Contact
MACKENZIE INGLE
Office Manager
208-201-0215
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2023-09-22
Last Update Date
2023-11-30
Business Address
STEELE LAKE SPECIALTY PLLC
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404-7546
Phone number: 208-529-2230
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Mailing Address
STEELE LAKE SPECIALTY PLLC
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404-7546
Phone number: 208-529-2230
Copy
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