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1750040432
HOLLY MARIE HEIDEMANN
POCATELLO, ID
NPI
1750040432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
Mrs. HOLLY MARIE HEIDEMANN ToxicologyFacilitato
350 YELLOWSTONE AVE
POCATELLO, ID 83201
Phone number: 208-233-0940
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Mailing Address
Mrs. HOLLY MARIE HEIDEMANN ToxicologyFacilitato
350 YELLOWSTONE AVE
POCATELLO, ID 83201
Phone number: 208-233-0940
Copy
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