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1235768490
HENRY'S FORK SURGERY CENTER PLLC
REXBURG, ID
NPI
1235768490
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Entity Type
Organization
Authorized Contact
HOLLY ALLEN
Manager
208-359-1888
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2020-04-08
Last Update Date
2020-04-30
Business Address
HENRY'S FORK SURGERY CENTER PLLC
23 SAWTELLE AVE
REXBURG, ID 83440
Phone number: 208-359-1888
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Mailing Address
HENRY'S FORK SURGERY CENTER PLLC
PO BOX 6
REXBURG, ID 83440-0006
Phone number: 208-359-1888
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