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1730139023
RICHARD E. FELLOWS
POCATELLO, ID
NPI
1730139023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3406)
Enumeration Date
2006-05-10
Last Update Date
2024-02-27
Business Address
RICHARD E. FELLOWS D.D.S.
1598 DELPHIC WAY SUITE B
POCATELLO, ID 83201-2285
Phone number: 208-237-4357
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Mailing Address
RICHARD E. FELLOWS D.D.S.
1598 DELPHIC WAY SUITE B
POCATELLO, ID 83201-2285
Phone number: 208-237-4357
Copy
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