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1376094961
IDEAL OPTION, PLLC
CUT BANK, MT
NPI
1376094961
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Entity Type
Organization
Authorized Contact
BRIAN JEFFERSON DAWSON
Cmo
509-222-1275
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
Enumeration Date
2016-10-18
Last Update Date
2023-08-30
Business Address
IDEAL OPTION, PLLC
14 E MAIN ST
CUT BANK, MT 59427-2917
Phone number: 509-222-1275
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Mailing Address
IDEAL OPTION, PLLC
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336-8108
Phone number: 509-222-1275
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