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1578789525
MOUNTAIN VALLEY IMAGING LLC
REXBURG, ID
NPI
1578789525
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Entity Type
Organization
Authorized Contact
DAVID VICTOR HANSEN
Owner
208-359-6508
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2007-04-18
Last Update Date
2008-05-06
Business Address
MOUNTAIN VALLEY IMAGING LLC
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-6508
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Mailing Address
MOUNTAIN VALLEY IMAGING LLC
PO BOX 31 450 EAST MAIN
REXBURG, ID 83440-0031
Phone number: 208-359-6508
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