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1538921630
CANYON PRIMARY CARE LLC
TWIN FALLS, ID
NPI
1538921630
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Entity Type
Organization
Authorized Contact
HAILEE LI
Owner
208-490-1501
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
CANYON PRIMARY CARE LLC
1215 CHENEY DR W
TWIN FALLS, ID 83301-1203
Phone number: 208-490-1501
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Mailing Address
CANYON PRIMARY CARE LLC
2657 E 3700 N
TWIN FALLS, ID 83301-0146
Phone number: 208-490-1501
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