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1679519193
GRAND TETON CHIROPRACTIC, P.C.
IDAHO FALLS, ID
NPI
1679519193
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Entity Type
Organization
Authorized Contact
JAMES C. GARDNER
President
208-529-1919
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA 904)
Enumeration Date
2006-06-22
Last Update Date
2014-02-10
Business Address
GRAND TETON CHIROPRACTIC, P.C.
1220 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-529-1919
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Mailing Address
GRAND TETON CHIROPRACTIC, P.C.
4317 AMBER LN
AMMON, ID 83406-4640
Phone number: 208-542-9567
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