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1659572493
EAGLE CREST LIFE SERVICES
COEUR D ALENE, ID
NPI
1659572493
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Entity Type
Organization
Authorized Contact
ROBERT WHEELER
President
208-666-9162
Organization Subpart ?
No
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
Enumeration Date
2007-05-30
Last Update Date
2020-08-22
Business Address
EAGLE CREST LIFE SERVICES
416 E COEUR DALENE AVE
COEUR D ALENE, ID 83814-2825
Phone number: 208-666-9162
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Mailing Address
EAGLE CREST LIFE SERVICES
PO BOX 3723
COEUR D ALENE, ID 83816-2529
Phone number:
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