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1639690050
IDEAL OPTION, PLLC
SANTA FE, NM
NPI
1639690050
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Entity Type
Organization
Authorized Contact
BRIAN JEFFERSON DAWSON
Cmo
509-222-1275
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
Enumeration Date
2017-07-06
Last Update Date
2023-08-30
Business Address
IDEAL OPTION, PLLC
2019 GALISTEO ST STE H1
SANTA FE, NM 87505-2106
Phone number: 509-222-1275
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Mailing Address
IDEAL OPTION, PLLC
8656 W GAGE BLVD SIUTE 301B
KENNEWICK, WA 99336-7145
Phone number: 509-222-1275
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