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1477321537
TREASURE VALLEY PAIN CENTER, LLC
MERIDIAN, ID
NPI
1477321537
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Entity Type
Organization
Authorized Contact
TATIANA KHOCHAY
Owner/Provider
208-794-1559
Organization Subpart ?
No
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
Enumeration Date
2023-12-18
Last Update Date
2024-05-15
Business Address
TREASURE VALLEY PAIN CENTER, LLC
2240 W EVEREST LN STE 150
MERIDIAN, ID 83646-6104
Phone number: 208-505-4744
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Mailing Address
TREASURE VALLEY PAIN CENTER, LLC
1067 E AZAN ST
MERIDIAN, ID 83646-7682
Phone number: 208-794-1559
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