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1497953459
KENT W. DAVIS
IDAHO FALLS, ID
NPI
1497953459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: ID M-5823)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
KENT W. DAVIS MD
3869 CANTERBURY WAY
IDAHO FALLS, ID 83404-7971
Phone number: 208-523-1652
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Mailing Address
KENT W. DAVIS MD
3869 CANTERBURY WAY
IDAHO FALLS, ID 83404-7971
Phone number: 208-523-1652
Copy
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