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1477153120
ERIC BENNETT PLLC
IDAHO FALLS, ID
NPI
1477153120
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Entity Type
Organization
Authorized Contact
ERIC BENNETT
Physician
208-360-1234
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
ERIC BENNETT PLLC
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
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Mailing Address
ERIC BENNETT PLLC
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
Copy
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