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1265714760
COMMUNITY CARE POCATELLO PLLC
POCATELLO, ID
NPI
1265714760
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Entity Type
Organization
Authorized Contact
DEREK CAMPBELL
Member
208-233-0032
Organization Subpart ?
No
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
COMMUNITY CARE POCATELLO PLLC
1595 YELLOWSTONE AVE
POCATELLO, ID 83201-4203
Phone number: 208-233-0032
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Mailing Address
COMMUNITY CARE POCATELLO PLLC
1595 YELLOWSTONE AVE
POCATELLO, ID 83201-4203
Phone number: 208-233-0032
Copy
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