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1366441156
CHARLES O GARRISON
POCATELLO, ID
NPI
1366441156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine
(Licence: ID M3488)
Enumeration Date
2005-07-14
Last Update Date
2007-07-13
Business Address
-- CHARLES O GARRISON MD
1125 W ALAMEDA RD
POCATELLO, ID 83201-6143
Phone number: 208-237-1151
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Mailing Address
-- CHARLES O GARRISON MD
1125 W ALAMEDA RD
POCATELLO, ID 83201-6143
Phone number: 208-237-1151
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