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1568112688
ISSC FRUITLAND
FRUITLAND, ID
NPI
1568112688
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Entity Type
Organization
Authorized Contact
CELIA RAMOS
Office Manager
208-452-7450
Organization Subpart ?
Yes
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2022-03-24
Last Update Date
2023-04-25
Business Address
ISSC FRUITLAND
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450
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Mailing Address
ISSC FRUITLAND
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450
Copy
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