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1316258098
ANDREA SUE RADABAUGH
POCATELLO, ID
NPI
1316258098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D4296)
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
Dr. ANDREA SUE RADABAUGH DDS
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
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Mailing Address
Dr. ANDREA SUE RADABAUGH DDS
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
Copy
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