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1720561103
PEARL PRIMARY CARE PLLC
AMMON, ID
NPI
1720561103
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Entity Type
Organization
Authorized Contact
ZAKERY WARREN
Owner/Director
208-346-7500
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
PEARL PRIMARY CARE PLLC
2705 E 17TH ST STE B
AMMON, ID 83406-6601
Phone number: 208-497-0566
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Mailing Address
PEARL PRIMARY CARE PLLC
2705 E 17TH ST STE B
AMMON, ID 83406-6601
Phone number: 208-497-0566
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