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1730948308
BENJAMIN SMITH
IDAHO FALLS, ID
NPI
1730948308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
BENJAMIN SMITH DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-227-2856
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Mailing Address
BENJAMIN SMITH DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-227-2856
Copy
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