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1295009785
COMMUNITY CARE WEST SIDE LLC
IDAHO FALLS, ID
NPI
1295009785
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Entity Type
Organization
Authorized Contact
HEATHER MCVEY
Office Manager
208-525-2600
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-02-29
Last Update Date
2017-04-05
Business Address
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS, ID 83402-5093
Phone number: 208-525-2600
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Mailing Address
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS, ID 83402-5093
Phone number: 208-525-2600
Copy
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