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1710477310
FUNCTIONAL MEDICINE CENTER OF BOISE LLC
NAMPA, ID
NPI
1710477310
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Entity Type
Organization
Authorized Contact
SPENCER ZIMMERMAN
Owner
801-623-9877
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2018-05-18
Last Update Date
2018-07-12
Business Address
FUNCTIONAL MEDICINE CENTER OF BOISE LLC
232 2ND ST S
NAMPA, ID 83651
Phone number: 801-623-9877
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Mailing Address
FUNCTIONAL MEDICINE CENTER OF BOISE LLC
232 2ND ST S
NAMPA, ID 83651-3709
Phone number:
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