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1396978698
TERESA A MORAN
IDAHO FALLS, ID
NPI
1396978698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2009-09-02
Last Update Date
2024-11-10
Business Address
Mrs. TERESA A MORAN BS
1740 E 17TH ST SUITE C
IDAHO FALLS, ID 83404-6375
Phone number: 208-680-4322
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Mailing Address
Mrs. TERESA A MORAN BS
329 N SPRUCE ST
BLACKFOOT, ID 83221-1748
Phone number: 208-680-4322
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