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1619977600
JOHN E LILJENQUIST
IDAHO FALLS, ID
NPI
1619977600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: ID M4220)
Enumeration Date
2005-07-30
Last Update Date
2010-06-02
Business Address
Dr. JOHN E LILJENQUIST MD
2220 E 25TH ST
IDAHO FALLS, ID 83404-7542
Phone number: 208-522-2996
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Mailing Address
Dr. JOHN E LILJENQUIST MD
3910 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7596
Phone number: 208-522-2996
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