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1578714770
GENERATIONS WOMEN'S CLINIC, PLLC
REXBURG, ID
NPI
1578714770
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Entity Type
Organization
Authorized Contact
GARY LOVELL
Managing Member
208-656-8864
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2008-10-06
Last Update Date
2008-10-07
Business Address
GENERATIONS WOMEN'S CLINIC, PLLC
36 PROFESSIONAL PLZ
REXBURG, ID 83440-2049
Phone number: 208-656-8864
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Mailing Address
GENERATIONS WOMEN'S CLINIC, PLLC
36 PROFESSIONAL PLZ
REXBURG, ID 83440-2049
Phone number: 208-656-8864
Copy
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