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1285858092
KATHY GAMMON
IDAHO FALLS, ID
NPI
1285858092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ID PT560)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Ms. KATHY GAMMON RPT,P.A.
555 W 25TH ST
IDAHO FALLS, ID 83402-4527
Phone number: 208-524-1550
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Mailing Address
Ms. KATHY GAMMON RPT,P.A.
555 W 25TH ST
IDAHO FALLS, ID 83402-4527
Phone number: 208-524-1550
Copy
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