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1497107171
MONTE CACHE HIBBERT
POCATELLO, ID
NPI
1497107171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: ID CFH-4005-SD)
Enumeration Date
2016-07-06
Last Update Date
2016-07-06
Business Address
MONTE CACHE HIBBERT
121 N 18TH AVE
POCATELLO, ID 83201-3345
Phone number: 208-234-7383
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Mailing Address
MONTE CACHE HIBBERT
121 N 18TH AVE
POCATELLO, ID 83201-3345
Phone number: 208-234-7383
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