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1740946870
REACH PRIMARY CARE LLC
EAGLE, ID
NPI
1740946870
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Entity Type
Organization
Authorized Contact
THAO T NELSON
Owner
435-538-3713
Organization Subpart ?
No
Primary Taxonomy
261QC1500X Clinic/Center Community Health
Enumeration Date
2021-11-12
Last Update Date
2021-11-12
Business Address
REACH PRIMARY CARE LLC
141 N PALMETTO AVE UNIT 326
EAGLE, ID 83616-8014
Phone number: 435-538-3713
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Mailing Address
REACH PRIMARY CARE LLC
141 N PALMETTO AVE UNIT 326
EAGLE, ID 83616-8014
Phone number: 435-538-3713
Copy
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