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1316113368
UPPER CERVICAL CLINICS OF IDAHO
MERIDIAN, ID
NPI
1316113368
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Entity Type
Organization
Authorized Contact
GRAYSON BLOM
President
208-559-0541
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: ID CHIA-1297)
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
UPPER CERVICAL CLINICS OF IDAHO
3023 E COPPER POINT DR STE 104
MERIDIAN, ID 83642-1740
Phone number: 208-559-0541
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Mailing Address
UPPER CERVICAL CLINICS OF IDAHO
3211 CAMROSE LN
BOISE, ID 83706-2710
Phone number:
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