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1740677871
24 COMMUNITY CARE PLLC
AMMON, ID
NPI
1740677871
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Entity Type
Organization
Authorized Contact
COLBY COOMBS
Owner
208-524-0685
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
24 COMMUNITY CARE PLLC
3544 E 17TH ST SUITE 201
AMMON, ID 83406-6911
Phone number: 208-524-0685
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Mailing Address
24 COMMUNITY CARE PLLC
3544 E 17TH ST SUITE 201
AMMON, ID 83406-6911
Phone number: 208-524-0685
Copy
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