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1285006403
EVOLUTION CHIROPRACTIC
IDAHO FALLS, ID
NPI
1285006403
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Entity Type
Organization
Authorized Contact
THOMAS R BENCH
Owner
208-552-9600
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-1393)
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
EVOLUTION CHIROPRACTIC
1410 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-552-9600
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Mailing Address
EVOLUTION CHIROPRACTIC
1410 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-552-9600
Copy
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