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1346547098
EAGLE RIVER ORGANIZATION, IND
BLACKFOOT, ID
NPI
1346547098
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Entity Type
Organization
Authorized Contact
ROBERT A PERRENOUD
Board Member
208-200-8888
Organization Subpart ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-02-16
Last Update Date
2011-02-16
Business Address
EAGLE RIVER ORGANIZATION, IND
494 N MERIDIAN ST
BLACKFOOT, ID 83221-1627
Phone number: 208-200-8888
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Mailing Address
EAGLE RIVER ORGANIZATION, IND
494 N MERIDIAN ST
BLACKFOOT, ID 83221-1627
Phone number: 208-200-8888
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