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1295094530
MICHAEL SEAN ENSLOW
IDAHO FALLS, ID
NPI
1295094530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M-13861)
Enumeration Date
2012-05-07
Last Update Date
2018-05-14
Business Address
Dr. MICHAEL SEAN ENSLOW M.D.
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Phone number: 208-529-6111
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Mailing Address
Dr. MICHAEL SEAN ENSLOW M.D.
2265 E SUNNYSIDE RD
IDAHO FALLS, ID 83404-7598
Phone number: 208-542-5000
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