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1588041537
UNIFIED HEALTHCARE OF IDAHO LLC
IDAHO FALLS, ID
NPI
1588041537
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Entity Type
Organization
Authorized Contact
THOMAS TUELLER
Owner
208-221-0007
Organization Subpart ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center Health Service
Enumeration Date
2015-04-29
Last Update Date
2016-07-11
Business Address
UNIFIED HEALTHCARE OF IDAHO LLC
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-529-3967
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Mailing Address
UNIFIED HEALTHCARE OF IDAHO LLC
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-529-3967
Copy
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