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1750542452
KYLAN D PETERSON
TWIN FALLS, ID
NPI
1750542452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: ID O0713)
Enumeration Date
2008-06-24
Last Update Date
2015-01-02
Business Address
Dr. KYLAN D PETERSON D.O.
730 N COLLEGE RD SUITE B
TWIN FALLS, ID 83301-3382
Phone number: 208-814-7350
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Mailing Address
Dr. KYLAN D PETERSON D.O.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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