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1659101384
ADAM MOON
IDAHO FALLS, ID
NPI
1659101384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
ADAM MOON BS
615 HOOPES AVE
IDAHO FALLS, ID 83401-6106
Phone number: 208-542-0352
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Mailing Address
ADAM MOON BS
615 HOOPES AVE
IDAHO FALLS, ID 83401-6106
Phone number: 208-542-0352
Copy
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