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1356423073
JEAN MARC CARDINAL
BLACKFOOT, ID
NPI
1356423073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M5908)
Enumeration Date
2006-10-20
Last Update Date
2017-03-15
Business Address
-- JEAN MARC CARDINAL MD
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-3810
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Mailing Address
-- JEAN MARC CARDINAL MD
PO BOX 2896
IDAHO FALLS, ID 83403-2896
Phone number: 208-552-8762
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