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1720867153
PRESTIGE WELLNESS CLINIC
RIGBY, ID
NPI
1720867153
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Entity Type
Organization
Authorized Contact
LEVI HANSEN
CEO
208-705-9800
Organization Subpart ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
PRESTIGE WELLNESS CLINIC
3749 E 343 N
RIGBY, ID 83442-5326
Phone number: 208-705-9800
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Mailing Address
PRESTIGE WELLNESS CLINIC
3749 E 343 N
RIGBY, ID 83442-5326
Phone number: 208-705-9800
Copy
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