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1740450014
SUSAN BLAKE WACHTER
IDAHO FALLS, ID
NPI
1740450014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 6825173-1205)
Enumeration Date
2008-03-03
Last Update Date
2014-01-13
Business Address
Dr. SUSAN BLAKE WACHTER M.D., Ph.D.
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-523-3373
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Mailing Address
Dr. SUSAN BLAKE WACHTER M.D., Ph.D.
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-523-3373
Copy
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