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1447718853
ROOT CAUSE INTEGRATIVE MEDICINE LLC
AMMON, ID
NPI
1447718853
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Entity Type
Organization
Authorized Contact
JORDAN NEIL HALE
Co Owner/ Physician Assistant
650-933-6384
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-03-05
Last Update Date
2019-04-10
Business Address
ROOT CAUSE INTEGRATIVE MEDICINE LLC
1547 S MIDWAY AVE SUITE B
AMMON, ID 83406
Phone number: 208-497-0429
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Mailing Address
ROOT CAUSE INTEGRATIVE MEDICINE LLC
1547 S MIDWAY AVE SUITE B
AMMON, ID 83406
Phone number: 208-497-0429
Copy
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