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1326061565
COMMUNITY CARE PLLC
IDAHO FALLS, ID
NPI
1326061565
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Entity Type
Organization
Authorized Contact
RYAN PETERSON
CEO
208-525-8448
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-07-26
Last Update Date
2020-08-22
Business Address
COMMUNITY CARE PLLC
2725 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-525-8448
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Mailing Address
COMMUNITY CARE PLLC
2725 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-525-8448
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